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TOWN OF LEXlNGTON -BOARD OF PUBLIC
DATE :!Izlvr 'SEWER DIVISION
The U~.zPPliesfor the coustruction of a particular sewer connecting No.
WORKS
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of'Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid $_v~-~owuer
Sketch of Service Here
Connection made in__~Street.Work completed __~_19