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AM _70 lAIrd Street
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Kind of Pipe SiR ,;;;'"Size of MaiII 11"
;Da__.sI__New Serv~----
Date Material Amount Total Date Amount
<;/2Ii/<;~La::'or 78 08 ..s--r~0-17 pQ;,~'j->"".2-"'<1 a?'
10 ,overhead 7 81 .85 89 9-,::;c r-.&~#0L:fl ~~-.5 ;>--0
54 6"Transite P pe @ .7p20 37 91
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3 ~s.Town Shovel ~6·50 19 50 i
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2 bre.Truckinp:@ •~.5 1 50 .
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIYISION
DATE .•...•••.••...••••••••••.NO.......••..
The undersigned applies for the constructIon of a partleu la r sewer connecting No... . ... . . ... . . . . . . . . . . . . . •..
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of PartiClJlar
Sewers,as now or at any future time establ Ished by the Boa rd of SelecImen.
Am',of estimate $.
Am't Paid $.............•..
._ . . . . . . . . ...Owner
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Sketch of Service Here
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Connection made in Street.Work completed...............•.19..
Remarks: