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Kind of Pipe •
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Size ~,.
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Service No,....I
Siore of Main f"
5 2 7 7 7 N_Service Location ,-
COM.5-3-54
Date Material Amount.Total Date Amount
I~.n h;-r._~31 lo~I.>'-2"~...v -1,d>A ~:.10/-<,,.f "";-7 k--d,-overhead :3 10 34 13 ,-i -~,r-¥'~'PA?~--t/(J MC?W
SR'-p,'"ewer n Ine ••1'1
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//£.-r/.....087 90
,.',..'.·_fo:1.~t ~compound 48 .
5 hz-a _Littlei'ie d Bhov 1..50 3'1 50
2 hz-s _truoklD~II .75 1 50.
nEl.t _h,j.n'"12 x 3 H 00 --
101 51
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...........•..•.....•...NO...•....•.
The undersigned appIies for the construction of a partic ula r sewe r connecting No.......••• _ _ _ _ • • • . • . . • . • • • •
Street and hereby agrees to comply with the Rules and Regulations governing the construction anel use of Particular
Sewers.as now or at any future Ii me estabIished by the Bo ard of Selectmen,
Am't of estimate $ .
Am't Paid $..,.
.~~~..~.~..,.Ovvner
Sketch of Semce Here
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Connection made in ;.." . . .... . . . . . ...Street,
Remarks:
Work completed •••_ •__. • • •••19••
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