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Addna #24 Whlpple Road
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Kind of Pipe Sise ~/'Sise of Mlin f "'-I
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Date Material Amount Total Date Amount
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Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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DATE .....0 0 ...0 .000 ....o ••••NO .
The undersigned applies for the construction of a particular sewer connecting No...,..0 •••••0 •••••••••••••
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any fu ru re time estabIished by the Board of Se Iectmen.
AmOt of estimate $.0 ••••0 •••
Am't Paid $0 • 0 •••0
••••0 ••••0 •••••0 ••••••••••0 • • • • • •••Owner
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RemarkJ;:
Work completed .•. . .0 • 0 •••••0 ••190 •