HomeMy WebLinkAboutBERNARD ST 38•Service No.
Loean"
Kind of Pipe Size Size of Main
r -{,!,.p~~~,I"~v
~.1751'3 ,C:8
3 1~:5~I,,,,,
~."-.--.--'
313S
I"'?'-~'-
/42
7lc;o
(I '7 r-'
,.?
Amount
Location
AmQuntMaterial
Overh~3.i
~NewSenice
Date
Labor
2-:5 '5("
•
•
•
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 $~~_
Am't.Paid S _
Builder _
Owner
Address
Sketch of Service Here .-
Connection made in Street.
Renl.arks:
Work completed 19 •