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Skekh of Service
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TOWN OF LEXINGTON -BOARD OF PUBLIC.WORKS
SEWER DIVISION
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e£/h U ,If;:Z.c--kv Owner
.DATE _
The undersigned applies for the construction of a particular sewer connecting No.'7'~7 c~/l'
lOtPeet and hereby agrees to comply with the Rules and Regulations governing the construction
Sewers,as now or at any future time established by the Board of Selectmen,
Am't.of Estimate $tf ()~.
Am't.Paid $_
~.4B!+:'~",,-?,.•,•.,~.;
Work compkted 19ConnectionmadeinStreet.
Remarks:
L~.J"',;tit !'--';-rS''i,·/,;~;;·L¥.4~S,·).i-"~'~':'~'"~:,;~',>:,-:1?~.'--3,'~.~,I.t i ->;i;i..,..<·~¥-t·,..;''''';@6Sh~--~.;!<A---i.•g,t---,;:·td":';';i-'-"'~;4/=....'j',,-,...r.'.,'·'"",,,,,,,,,,,;;;,i:;;;,';,,L,,..;j,i '''F,I