HomeMy WebLinkAboutBERNARD ST 29•
Kind of Pipe
Location
Size
Service No.
Size of Main
Date
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Labor
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Location
Amount-
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DATE _
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 $_Ovmer
Am't.Paid $_Address
•
•19Workcompleted._
Sketch of Service Here
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Builder _
Conuection made in Street.
Remarks: