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Date Material Amount Total Date Amount
7/24/5~t.abor 26 62 '~-c--/.'1 1;;-..1 .J1~~r~-L //,$J ~
0%nvel"Mad 2 fig 29 laB "'./A.~.a'!-d.L,/(>?Lr7
•@ .34~V /"~6'-6"sewer pit J.2 :51 P7 /,.;>
1 -6"elbow ].as
1 ...........t-;2 16
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE...•••.•.•.•••••,.•••••••NO.•...,•.
The undersigned aP\llies for the construction of a particular sewer connecting No.........................••.
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers.as now or at any future time established by the Board of Selectmen.
Am't of estimijte $ .
Am't Paid $..............•.
..Owner
Sketch of Service Here
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Connection made in....'.::.. . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
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Work completed.. . . . . . . . . . . . . . ..19..