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Kind of Pipe Si....~h Size of Main f #-------'-••R 7 New Service Com,eretMt....Location.
Date Material Amount Total Date Amount
ru.ae 22 '49 Labor 1~l'In 11 M 'io '"..,.<;rr...----0.Q-.11 '~A I~!
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10«Ovel'head 01 015 'J4'lf"'!>I
4a'-611 Sew.r P pe ••2615 12 72
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Jo.1.nt Compound 288 II -I~-()t~II'"'~W PiA,'1 II,JV,Jlt'I '~~...\:
L1tt~ef'1elA Sloov'1 Ilin'zon 1 !-J),.,'1 nn I
T,ruckj.n2 2 we •••75 150 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 hereby agrees to comply with the Rules and Regulations governing the construction arid use of Particular
Sewers.as now or at aQY future lime established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
.........•..•......•.•.•.•.•••.•.••Owner
Sketch of Service Here
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Connection made in ........•..........•..........Street.
Remarks:
Work completed ..• • . • • • • • . • . ••.19.•
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