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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIYISION
•
DATE NO.,_
The undersigned applies for the construction of a particular sewer connecting No.,21th Cur"!
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Panicalar
Sewers,as now or at any future time established by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid $_
_-'-Owner
Sketch of Service Here •
-.I,.12
1'-'1//.;.....ro.....
Work completed 19
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Connection made in Street.
Remarks:
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