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.A4dreu 15e Woburn Street ..if
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S;"e~..Size of Main 1?"
Location
I Date Material Amount.Total Date Arnoun~
!).Dr•.,11481 r.,bel'I 65 ~O II 851 90 IIGlJ..1},I ''f1~_'~-lrJ)-:2d&_-.
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I,,·1_&"Sewer PipeI@.25 I II ~21 22
~_:n ~~b"8 I ~_Ili";;R Bend I II 1 ~8 1~1/22/881 3'I {;N ""I'
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f.r..~n t:Cam"ount'i I I II 21 6B
Iro_"";'''.l!.Ol'6 br••I@ 1.75 I II 1d 50 i
e-eat 1 bag 1 1 II ~118
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4 I Yds Gravel
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P.t:.....b.a 12 ]I:3 I 121 00 II
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
.--4~-~-
DATE . . . . . . . . . . ._.NO .
The undersigneel a pplies for the construction of a parti cular sewer connecting No..
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of P.articular
Se""ers.as rtO\N or at-any future time established by the Board of Selectmen,
Arn't of estirnat"e $__._.
An1't Paid $.__. . . . . .•
...............................•."Owner
Sketch of Service HeIe
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I I I I r I I I I I I I I I I I I I I I I I I I I I I I I I
I J I I I I I I I I I I I I I I " I I I I I I I [ I I I I I I
I I !I I I I I I I I I I I I I i I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I J I I I I
L I I I I I I I I I I 1 I I I I I I I I 1 I I I I I I I :U II
Conn ectlon made in.. . . . . . . . . . . . . . . . . . . . . . . . . ...,Street.
Ren1arks:
Work completed •••, .... . •. •. ..•19.•