HomeMy WebLinkAboutOUTLOOK DR 16I.exi.n21:on
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Location
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Service No.123;{".-':""
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Kind of Pipe COM.9-22-52 Size 6 "Size of Main go"
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Date Material Amount i Total Date Amount
8128/~:L-abor ked '10 L,c -./"-'-l/l C~£/i ...:f ;;c-.-..
10'1:Overhead 4-'53 !k9 83 '7_"2--2 -2-&L",L/!«~~,,?0
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TOWN OF LEXINGTON-DEPT,OF PUBLIC WORKS
SEWER DIVISION
DATE,, , , , , , , , • , , , • , , • , ,••,•••NO," , , , , , . , •
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The undersigned applies for the construction 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 0 rat any fu ture time established by the Board of Selectmen.
Am't of estimate $...,."",
Arn't Paid $."""""••,••
,.., ,...., , , , , ,....., . . . . , , . , ,.., ,Owner
Sketch of Service Here I R
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Connection made in , . ,,Street.Work completed.....•......., , . ,19,,
Remarks:~~~~~~~'oIe~
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