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Date Material Amount Total Dete Amount
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7-30-58 1T.'~.1f:,-/~_C 7 1-".""'t-'u-r [,.,0
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653 I,
10%0 H.65 7.'IY~<>-/..:/7_~...J ,,>,"8 3~I.n .~@.70 18.~O 7/1/85 'r REPAIR -W.O.'1306 'if<~/.I
1 hr.TruckioJZ @."7 .175 41<'6"PVC
(b-ll1 when l!.Onnel ted)26.;3 1 6"PVC to 6"Trans F rneo Co lDlfna
~_71_63 T,."~r 14 26 1 6"Trans to 6 PYC mo ded ana tor
I~a.H.1 43 IS 69
42'6"Transite Pi pe @ .82 34 44
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,8 70 ~::\11-Sr'S .../1',
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE•..••.•.••.•..••••••.••••NO..••...••••
The undersigned applies for the consl rucl ion of a parIic uIar sewer connecling No... . ... . . . _ _ . . . . . . . . . . . . . ...
Street and hereby agrees to comply with Ihe Rules and Regulations governing the construction and use of Particular
Sewers.as now or at any future Iime estabIish ed by the Board of Selectmen.
Am't of eslimate $ .
Am't Paid $.............•..
..,Owner
Sketch of Service He..
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I I I I I I I I I I I I I I i I I I I I
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I I I I I I I I I I I I
I I I I !I
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I I I
1 I I I I
I I I I
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Conneetion made In ....••.•..•:..•:•........••....Street.
Remarks:
Work completed.............•...19.•