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Size of tot a;n 7 "size 6 ..Kind of Pipe -..
,P".K~.New Serwice 'location:
Date Material Amount Total Date Amount
---.--+------------+----.-----ff----'--T'--:l--h".en Labor 30 78 30 78 ~,.U.51'":1i1'.A l!lei"DO
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<:::A •_.,.:;-"'1>~_,a.''!.I,2 ,0 ,~'r,/.1 /.,_~-,
"'-_6-R'hnw 1 88
.Tn.~.....+..COllmo_d ,,6 --
6 Hz-.Litbleriel(Shovel 42 00
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Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ....••...•........•..•..NO .
The undersigned a pplies for the construction of a particula r sewer connecting No........•• _ _ • • • • • . . . . . . .•••
Street and hereby agrees to comply with the Rules and Regulations goveming the construction and ....se of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $ " .
Am't Paid $.
..........................~~
Sketch of Service Here
__••..•...Owner
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I I I I I I I I ITI I I I I I I I I I-I I I I I I 1"1 I I I I I I
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I I I I I I I LI I I I U I ! 1 lUI I 1 1 1 I I I I l I I I -L
Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . ..,Streel.
Remarks:
Work completed •••• •__• • • • • • ••.19.•
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