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"-.1.o1U1 _Casello Serrice No.122
AcId_77 Ward.Stre.t
7 7 Wi ""sI S T'Y'e.e.r -Locnimt Co iJ)m.,,"-:2 Y'07- - ---,/'
Kind of Pipe Size"'"Size of Main ~,.
R~.I .....New SeJYice Location
Date Material Amount Total Date Amount
9-13-c;iT :Labor 86 be;J'-/&,-/.6-7 r.,i ,I::;k>~~~""d"
:L~overhead 8 i57 .C}!I.I/-~0 $7 ;VQ~'AI /.~.,3S22 ,
60 6"'bransite ...7~i li2 00 1/~-1-..s17 ~[HARGE "....;..¥-I
1'7<§7 Go'
1 6 x 6 tee :4-21 p-~~-$.d -leb""61 .iU l~,
I 6'8"cJ.a:Jr pipe ••~35 !2 61 Healt 11••e Itare.Other 26 15 I
2 1O"s HOURh Loader II 1.00 6 00 Howth Loadel'26 00
6 1Irs.Jr~thWeBt shelvelO6.0 39 00 NortbJrest Shovel 21 00
'\'!Irs.'trucklWl:...7~2 2~'fruek LWl:11 17"
190 29 11<;'1':12
ili>-I 9 tJ I:>g }
LabM-
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(It ,1.-;._9 t,£
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1-96094-I ,.
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ,••,••••NO .
The undersigned applies for the construction of a particular sewer ccnnecting 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 01 Se....ice Here
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Connection made in "Street.
Remarks:
Work completed.. . . ........•....19..