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Kind of Pipe Size Sme of Main
"6,qXJ(~New Service OOM.6-16-62 .Location .
Date lV'Ia teriaI Amount Total Date Amount
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'22/52 t.abo::r-37 01 i if-1 ~5;I~~r;f,J /r8 116
O~e>-v-erhead '3 70 40 71 £-/L_i.b_~--tfI_L/{,,?,:{k;;o
,4 f ~n "ewer n1'e @ .34 11 62
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7 h;';":~T.1 t:tlef1eld
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;shovel 49 00
~h...-...+.."""ld n '"1 50 I
-!:>atc.h.1 -......19 X :3 12 00 .
116 87 !,
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...•....•..•...•....•...NO.••.••.•..
The undersigned appties for the construction of apartIcula r sewer connecting No........••____ • • . . • • . • . • • • •
Street and nereby agrees to comply with the Rules and Regulations goveming the construction 8rllc:l use of Particular
Sewers.as now or at any futu re time established by the Board of Se lectmen.
Am't of estimate $.. . . .
Am't Paid $.
Owner
Sketch of Se...ice Here
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I I I I I I I 1 1..1 I I I I I I I I I I LI I I I 1 1 I I I I I---Ll I I I I I I J I I I I I I I I I .1 I I LI I I 1 I I I I I I
Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . ...5I reet.
Remarks:
Work completed .•_ _ _ _____• • ••••19••
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