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)--,.,.-."1ob..:z:od J.S,lHnau Serrice No.4,.
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Kind of Pipe COM.6-16-52 Size ~,.Sb:e of Mai.i "
.'IWJiJllXXJlW:ilia 7 New Service •Location .
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Date Material Amount Total Date Amount
'"/90 /"b '7'_....~_'74 OR '74 lOR I II~.J-/-l'b /)-~:-1-..J /1:"0 D#..~,.,,'"..'1 IAn L.';L _":,.I/.h?L:?_L/(~77.
""'9 ,-All -ewA'",..,~"'e fil .3 21 20 //v/15--?2
~-----.--6"l/S bend1.-1 36
.'t'n:i-~+:~cmnound 3 72
A '-__.._-"hn..,.~8 fi _III 91l Inn10___
..._••_1.~~~1 11\0 i
Inatch..1..o<!"12 x 3 ,
12 00 ,
141 2:'\
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DAn::•................•......NO .
The undersigned applies tor the construction of a particular sewer coonecting No........••• _ •••••••.•.....•
Street and hereby agrees to comply with the Rules and Regulations governing the constrLlCtion 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
Sketch of SerYice Here
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I1I1 J ur II fl III flllillll.11111 I II I
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I I I I I I I I.I I I 1 1 I I [1 1J [I I I.[.[ I ,I.1.I 1.1 _I.,
-I-1-1 fll-L-'I I I I-II-n -i-,111-'-1T'I '-t I I I I II
I I II ,I I.I.I I IJ I I I L I I -'J I I I _I I l.J I I I I LIrIIII!I I I U I I 1-1-1 -I-1.TTl.-I_-IL I 1.111-\-1.1 1 I
•
Connection made In "..'_,..;.Street.
Remarks:
Work completed ~..• • • • " • • . • ••.19.•
•
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