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+~....tft~""oI!"Ii_Location
Size of Mail.SkeKhtdofPipe.
*If-!Mi••*,.New Service COM.'1-28-52 Locatioe
Date Material Amount Total Date Amount
I':/t;>A /,.0 T,--49 05 4/7_'>;tP--j).~,~,//.-,,,-t?-t'
1~overbead i91 5:l
-../Z.-7 J:/7J'/4 96 7-7_-1-e--L 4~
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·1 -8 1f elbow J 88
1~'"....-1::_ouad 2 24 I
V bra.L1tt~&fie d BnOVE11 4~00 I
2 bra.t1'l1ck1ng ]50 !
"0&t:oh:l.mr l.5 x 3 It 00
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Labor "
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:-IP-969......l.,...
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE.••.••...•.•..•••••.•••••NO........•..
The undersigned applies for the conslruction 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 estimate $ .
Am't Paid $...............•
..Owner
Sl<ekh of Service Here
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Connection made in Street.Work completed."..••...•......19.•
Remarks:
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