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Kind of ,Pipe
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Size6 N Size of Main goT'
Location j
Bat<!Material AmoWlt Total Date A_-j
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.'4/2/34 2216"Sewer Pipe @.2r,5194 4_.:/.~~L_~v_7'::.__£J ,..:>J,,_·l
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Sketch of Service Here
Connection made in Street.
Remarks:
DATE~'
TOWN OF LEXINGTON-BOARD OF
,SEWER DIYISION~~~'i NO..'.
The undersigned applies for the construction of a particular Sewer connecting No..i'~s(I ctGI
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particuhu'
Sewers,as now or at ~future time established by the Board of Selectmen.
AIn't.of Estimate $'--s2 -?'7
k.-..$-.>-7 -a yAIn't.Paid $_
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