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IuId -21 Woodland Road
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Service No.
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Kind .!If,ripe Sin
Loc:atioII .A;/-~_~£
Size ot'Main
• I ,P w.I New Service Location
Date Material Amount Total Date Amount
,
I 1-.5-.56 La'or 35 80 /"-.P .rt,,11)0 1.;~~P;-"100 '"'"
1-6-.56 La'or 53 70 89 .50 4-",,-...r-&/f:,fj;?7/e //37 -'7/J.j.10~overhead 8 Iq.5 /h d ~'j :
,24,-6"sewer pipe !1!.50 12 00 I
1 ~
2 -6'"Elbows §1.35 2 170 I
Jo~nt cOIIIDound 1 llill ,
6 1:iI's.Town Shovel I!!6.00 '16 00
,6 1:.rs.trucking ii 4,$9
!2 1:iI's.Compressor @ ".75 ,~1<;0
i 160 lS'q,
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Lober I I
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TOWN OF LEXINGTON-DEPT..OF PUBLIC WORKS
SEWER DIVISION
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DATE..••..•.••••••••...••.•••NO•.••••.••••
The unclersigned a ppIies fo r the construclion of aparticul ar sewer connecting No.... . . ..
Street and hereby a g rees to comply wilh the Rules and Regula lions governing the construction and use of Pa rlieular
Sewers,as now 0 rat any futu re ti me established by the Board of Se!ectmen.
Am't of estimate $.....
Am't Paid $.
..................................Owner
Sketch of 5ef'yice Here
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Cormection made in.. • • . . . . . . . . . . . . . ... . . . . . . . . . ..Street.
Remarks:
Work campieted.. . ... . . . . . ......19..
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.~"Name
aeM'iee.to eurb -to be obalOgM-"hen.oonneoted.
Service No.
Address
Kind of Pipe
9:1 W"ntll ..nd RnA"•
Size Size of'Main .
Location
Date Material
Flat Rat..•
Amount Total
!12 00
Date Amount
I I NSTALLED BY CO ITRACTOR
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PUBLIC WORKS
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..TOWN OF LEXINGTON-q~PT..,OF
SEWER DIVISION
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DATE ..........•••...........NO......•,•.
The undersigned applies for the construction of a particular sewer conneclfng No ,,."..,•.., .
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or a"l any future time established by the Board of Selectmen.
Am't of estimate $....., . ,..
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Am't Pa id $.. . .... . , . ,,.Owner I'
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Sketch of Service Here
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Connect ion made in.. . ... . . . . . . . ... . . . . . , . . ... ...Streel.
Remarks:
Work completed ••.... , , • , ,•..,.19..