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Date Material Amount Total Date A
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~.~,.....-/l~Ac,£/elle/l 2 Labor -45 28 _.:z::/,/-r2--~.
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I 60'-e"sewer p~loe @ .342 20 52 ..._--'.',.,,-..._--.-
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Ii Joint oompouDl!l ;;60 .,,---~.4 h ....a.•.L1ttlet1e In ...OR:,0.0,-.---,
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
NO .DATE .....•...•...••••.•••.•••I
I
The undersigned applies for the construction of a particular sewer connecting No '1'".
Street and hereby agrees to comply with the Ruies and Regulations governing the constr ction and use of Particular
Sewers,as now or at any future time established by the Board of Seiectmen.
Am't of estimate $..........I
Am't Paid $................I
••.•.•.........•...•...........••Owner
Sketch of Service Here 3 4-3
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11I1 11II1 II J 1['1 111 Ik--I I I I II I I I I I 1 I I I~I 1+~I"I 1 VII 1 I I I
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Connection made in ...............................Street.Work comple ed .................19 ..
Remarks: