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T.e:x1 ngton •Locatioll l~S r.
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~..iiJliiHiX New $erYice Location
Date Material Amount.Total Date Amount
5/6/5p.>l:iahe>.r 49 96 49 9A IQ-~/-t;12 /}--.c-:red /.:J.r""...
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4 hZ---town shove 8 5.0 20 00 '\.
2 hz-s.'*38 cOlIlpre8110r @ .'75 3 50
2 hz-s.trucking 1 60
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TOWN OF LEXINGTON-DEPT.OF 'PUSLIC WORKS
SEWER DIVISION
DATE ...•.................•..NO .
The undersigned applies 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 fu ture time established by the Board of Selectmen.
Am'tof estimate $ .
Am't Paid $.
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Work completed ••_ • • __• ••••.•"19.•Connection made in . . . . . . . . . . • . . . . . . . . . . . . . • . . ••.Street.I,.
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Remarks:
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KiacI of'Pi!"S Size
Date Material Amount Total Date Amount
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TOWN OF.LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...•.........•.•........
•
NO .
The undersigned applies for the construction of a particular sewer connecting No '...• • _
Street and hereby agrees to comply with the Rules and Regulations governing the construction and
Sewers,as now or at any future time estabHshed by the Board of Selectmen.
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Am't of estimate $/,;>;!(.,••, .
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Arn't Paid $./~. , .
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use of Particular
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Sketch of Service Here
••....."Owner
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Connection made in "..,••.........,,"Street.
Remarks:
Work completed ••• _ ••• • • • • • • • "19.•
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