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•BerneJll1&ckber.g,.....ice No.64
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....'-111 10 Patriots Drl:ve
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Kind of Pipe Silre t1,,.Size of Main r_N _
•,"_YO Z"New Sel'Yke emi.7-19-54 Location
Date Material Amount Tolal Date Amount j
6/18/5~LEbar 74110 ~J.-l~-¥/j A"~>'!r/h~J-t:J
Hi%overhead '7 41 8'51 7-L <7 ;,-~/ff"/L,L /~I r:.5',;>/
B~'-6"sewer n1!"1e !!II .w 9.F 40 /'//../-/.6.'
~.~~t 'hA 9.R /
...~hrs _.nn :'>(00
2 bra.truckin.,.!'i0
DE tch:1na:22x3 2~00 >I'9V,v'"J...AL .»,0 ...""/£L
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Labor
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!~-969""____._~..I.,___~
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ....•••.•.•.•••.•••••••••NO.......•..•
The undersigned applies for the construction of a particular sewer connecting No.............•...••....•••••
Street and he reby ag rees to comply with the Rules and Regul atiens governing the oonstruction a nd use of Particular
Sewers,as now or at any future time established by the Boa rd of Selectmen.
Am't of estimate $ .
Am't Paid $.
. . . . . ••. . . . . . . . . . . . . . . . .•...•...•.Owner
-11-1H I I"I I"n III
Sketch of Senice Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street.
Remarks:
Work completed.., . .••...•.•••..19.•
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