HomeMy WebLinkAboutBEDFORD ST 291Name _>9/&JjJrcJC5J.Address or
Service No./?.f'"•
Date
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Kind of Pipe
.n-newal-New ServiceRepa,r-ne
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Location
Size
Total
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Size of Main
Location
Date Amount
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Labor
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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 regulations as now,or at any future time,established by the Board of Selectmen.
Am't.of Estimate $ _Owner
Am't.Paid $_
Builder _
Sketch of
Address
Senice Here
L9/Bed'/tu'''/rIJ
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19 ..Work completed _
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Connection made in Street.
Remarks: