HomeMy WebLinkAboutBEDFORD ST 315,
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Name
Address
~_...----(Service No./?5
Kind of Pipe Size Size u£:Main
Repair-Renewal--Xew Sel'viee Locatiun
Date ::\laterial Amount Total II"Date A.mount
i
45'20
5'04
6 28
1 62
1200
13 00
6'00
89 74
i
I@1.42
NON CHARGE
3/28/62'bor
:12'3/4"Copper tubingi13/4"C Curb Cock
I 1 3/4"Adapter
'112 ,4 patch
I 2 h1'5.Town Shove1 @ 6.5a
i 2 hf5.Trucking @ 3.00
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DATE _----....--.~,
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
•WATER DIVISION
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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 futm'e time,established by the Board of Selectmen.
Am't.of Estimate S ~
Am't.Paid $_
Bui1der ~-
Owner
Address
Sketch "f Sertice Here
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•19Workcompleted_
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Connection made in t3 Q...Xfrv (ll Street.6-t::-
Remarks: