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...---,-'=it1c.,..~.-~--~~'.-:JAcId....3 We.=t:.aCID Road tiL 'i?rI Location 3 _aholl Road311[:a ~q tt ..1tLexs'%'1S ,,"on••....
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'"iT-».......W·*Y"'75",New Service Com.Juno 21 19h.....9~_Location
Labor
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'_n ::I'h .....111.71:;
Amount·
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Date
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3160
2188
11 ~O
21100
7719L.
12196
16\00
TotalAmount.Material
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Date
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER-DIVISION
DATE .....•.:..••..•...•..••.NO .
The undersjgned applies for the construction of a particula r sewer connect;ng 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 esta blished by the Board of Selectmen.
Am't of estimate $.....,..,.
Am't Paid $...•...•.•.•••.
.~~~~..-..
Sketch of Se.....ice Here
_ _ _ • • . • . . •Oo.Nner
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Connection made ;n Street.
Remarks:
Worltcompleted •••_••_••_ . • • •••19._
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