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Service No.182
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Date Material Amount Total Date Amount
29'6 Ii V.C.Pine •'\.00 87 00 //-5'-,{1-'/LA.f;?Sj Pi>,,7 .i
Ins taIled by c(ntractor 1/·5-<Si
81.1.1 owner whl n connectec 29 6"T"':l »I .'C :T..,
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L-1."",,-,il'6"Transit cine
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Labor
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9694 I ,;
TOWN OF LEXINGTON-DEPi~OF PUBLIC WORKS
SEWER DIVISION
DATE ..•.•.••••.•.•••..•••.•••
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The uncle rsigned appIies for the construction of a particula r sewer connecting No... . . . . . . . . . • . • . . . . . . . . . . • . •
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers.as now or at any tuture time established by the Board of Selectmen.
Am',of estimate $ , .
Am',Paid $..,..
. ,Owner
Sketch of Sel'¥ice Here
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Connection made in Street.
Remarks:
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Work completed.. . . . . • .•••......19 ..