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.Jlepair-Renewal-New Servic.e
Kind of Pipe
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Location
Service No.---~..__._.._-.--
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Size of :Main
Location
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Material
Labor
/929
Date
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Name
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TOWN OF LEXINGTON~BOARDOF PUBLIC WORKS
SEWER DIVISION
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DATE NO.
The undersigned applies for the construction of a particnlar sewer connecting No./k za .&.f£.,67,...e
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at an~'future time established by the Board of Selectmen.
Am't.of Estimate $
Am't.Paid ~
Owner
Sketch of Service Here IC2t)">t,..•i . I J
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Connection made in Street.
Remarks:
Work completed 19 •