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SiR of Mai.iC-..II _Sin~pcrOM.8~31-53KindofPipe -:p-O'••New !emu Location
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Date Material Amount Total Date Amount----r/4/53 T.21 50 7-~~.~iI ~IJIJAC;;'c'/./..3.z:--
'o<J!15 23 65 '..i ..-Ai-?-0"i]/,.L,/v-,..J9 q"ad 2 -J/-
~,B I -8-sewer D1JJIe ••30:6 14 57 r .9....,-.hl ~
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In"nt 2 68 ....~
-............'..........~-- ---...--T.'f ....,_4'<e~d shovel.'7.li 31 50 .,
~n-r..I ......'15 1 50 1
'A1':~h"...~15 .:I:3 15 00
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE •....•.••.....•..•......
The undersigned applies for the construction of a particular sewer connecting No..•......•_ •
Street and hereby agrees to comply with the Rules and RegulatiOl1s goveming the construction and
Sewers.as now or at any future time estabIi$hed by the Board of Selectmen.
Am'tof estimate $ .
Am't Paid $.
.--";1:-~-"!'-~-.-",--..'*'t ?"~:-:t"
NO._..._..•.
.. ...~..
·use·of Particular
..~"'~'~'."~'~"'''.
Sketch of Service Here
Owner
r 1-.1 !_I-I.1_I-.J 1 I J 1 !_I I I :I , I I I I I
I I I I I I I II I I I I 1-'I 1 1 I Ln-I -I I
IlllllllJIU IIIIIIIIILIIIIIIIIII 11
Connection made in ............•.................Street.
Remarks:
Work.completed •.• • • •'.-•••,.•.•~,.19,.