HomeMy WebLinkAboutARCOLA ST 34Name
Address
Kind of Pipe
Repair-Renewal-Xew Senice
Location
Size Size of Main
Location
Date
•
•
Material
i Labor
Amount Total Date ..Amount
DATE t..
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby agrees to
comply with the rules and re!flllations as now,or at any future time,established by the Board of Selectmen.
Am't.of Estimate $,_Owner
Am't.Paid S _Address
/
.36'-&014 JI:
•
•19Workearnpleted__
SWetch of S ervice Here
Ii'i i 'I I ++1 I j II r I I !I I IT,"'1--':'\,I ~/L I I,
111·1 II l-jJ;1 7:''---l 1,1
I I I J ,_1 ~!I rQ Iii I
Ii I'I I '!.....,\ft .J__i'iI.,-I I f7 .
1 ,r--j--1\1/i '.'I h-L++-
I :I I I i I ~I I I "i ,i--'-~II-+I-lii-+--I,I I ,I."",."
~·~'I~'~ii'I _I ,i
1 !,'.,~J .•"'.I ,.._.iI ~I.i .~.ljJ'·''
Builder _
Connection made,in Street.
Remarks: