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I itmd ofPlpe;so.•Size of Main,"i
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;'Date Material Amount Tolal Date A_I ,
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,Feb.20 B58 hr..(t 55«141 90 11--9-a'7 ~A_~?C I
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.y:-A ~-{"I ,~VI~;~F '1"9 .~Overhead 14 19 156 09
V !;l';I R II l'tn..Ie ':loot 11 100 /9'7 Prj
.[ointina Comnound 2 8&:tl ------;--1~IVV .
~_B ms.fA'".no 1B 100 !
~h-aotor'-4 bra.!II 2.00 8 00
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PUBLIC WORKS
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i TOWN OF LEXINGTON-BOARD OF
n,,',::Ft4r 'f-3.l=SEWER DIVISION
DATE:(V,,t NO
The undersigned applies for the construction of a particular sewer connecting No.~H'h..c-Rd.
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.
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Am't.of Estimate $,_
--1i~.~Owner
Sketch of Service HereT1~•
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Work completed 19 .
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Connection made in Street.1
~.Remarks:~~,~'-'<..,~~-