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Service No.I..=t..~~
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---1\"JRoedower.......40 T
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Kiu of Pipe .Siore 6 #If Sin of Main 1?"I
•ip 5 ....New Sorvice '..Location '.
Date Materia!Amount Total Date Amount
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--~'lR 30 eO 30 20 P\.~~~-~..";j§J /...:
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11.0 I_~.!'!..."'.."l>tne @ .26 10 10 'l)"l.r<?i
,_.0.-.,--Jo1.nt Compound 2 10 i
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01.h "'s.Litt1eflelc Shovel 28 bo
Po h ...s.TMlcklnlZ 1 50 .'
75 52
Labor...
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE •................•••..••NO.::....••...
The undersigned applies for the construcHon of a partieula 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 fu ture time 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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