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Due MIl....Amount TobIl Dale Amount
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'-l 6 ..",;:r 1 90 -f 7
%L'Trana:110e Adapter ;-,..-
1 :2.D.~r..Transi t Ie Bend 21.
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2-c 30 :43
Insts lei By'C"ontractor SA Irvlce t eu b.Bil wh n COnn cteld
L2-1-58 Labor ·22 [<;iF;
lot:O.H.2 12~n.'An
20':.6-Transitenin&@.70 14 ion
2 ~,.o "'-ans~t ...lib !L1 In.,,,n".
1 b'l".Town Shovel a 'A,F;{l "'-fin J /~i?~/.r~'7f
h.....Truoklna &.75
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8A 58a..
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ..•...••.••..•.•.••.•••, •He...,....-.-.-.
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 n<:1W or at any future time established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.............•.,
. • . • . •• . . . . . . . . . . . • . . • . . •.•"..•.••Owner
Sketch of Service He,.
I I I I I I
,
I
,
Connection.made ]n ~~~... . ..St t.
Remarb:
Work completed.. • • ••••, . , . ,••••19••