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.....9a6 M"ssaclmsetts Avenue j~
Kind of Pipe
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Size
LocatiDn 926 Massachusetts Avenue
Size of Main
;R ,*R ••'A:•N_~ic:e &~.//-?n LocatiDn
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1.."te I'v"Ia1cerial Amount .Total Date Amount
•14 '50 I.e.b co%".30 92 ~.~r '.sri S ..I.·..-4 /.,05 "a ,I
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15 •:La.bo%"10 03 lP7 /4 7§:J:LO~Ove-~~,'A 10 45 05
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611 Sewer I 60 i70·-iDe 19
.....-~- ----- -_...-;L.-.,-6"El.b_....1 58 ....
JO~r:L t Compound 4 20 (~../.l //./;5"_,~'V I,.
I4l::LX"'s.Littler!!Id Shov ~1 28 00 •N ~........---
2 ~s.Truckinll:1 50 "
Pe..t~:1ng 11 x 3 U 00 I
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The uncle r5igned applies for the construction of apartk ular sewer connecting No....•...••__ _ _ ••• • • • • • • • _ • _
Street and hereby agrees to comply with the Rules and Regulations goveming the construction arllcl use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $.
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..............................
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DArE .He.
Am't Paid $.,, .
_•_••••...•Owvner
•Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.
~"Remarks:
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Work completed ••• _--..19._