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AM..-230 Waltham Street
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"'lnII of Pipe
~_'4 New Service
Sise of Mala 1"
Location
Date Material Amount Total Date Amount !
2 Ihrs.Trucking @ •V'S
5L24/$7 lLabor
10~overhead
lWO I -6"Transite
Id¥-6 ft V.C.Pipe
1 !Elbow
1 Ih....__'T'nlom
Jolint compound
60117
6 102
ips @ .1702
@ .IlV:;
66 19
28 28
31)
2 79
0
1 20
60L;;r;;:-
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Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .•.••.••.•••••••••••••••NO ..
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•
-
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 and use of Particular
sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
• . . . . . . . . • . . . . . . . . . . . . . . • . • . . . • • ...Owner
Sketch of Sel'Yiee Here
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Connection made in . . . . . . . . • • . . . • . • . . •. . •. •. . . • . •Street;
Remarks:
Work completed ... • . . . • • • . . . .••19..