HomeMy WebLinkAboutBERTWELL RD 61•Name Eenry b.:....n.ndrev~s
Address 61 E-ert"'lell Hoad
Service No.,,
Lexington,t-~as s .
Kind of Pipe
c00l.
Location
Size
61 3ertwel~Roa~
Size of Main
Location
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Date
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52
2 l'J
13
Total
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Amount I[
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Labor
Date
•
•
Jul.1
DATE ---.
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
..:,The undersigned applies for a supply of wah,r at No,St,and hereby agrees to
comply with the rules and regulations as now,or at any futUTe time,established by the Board of Selectmen,
Am't,of Estimate $_Owner
Arn't,Paid S Adcil'ess
Buildcr'_
Sketeh of S erv;ce Here •
•19WOl'k completed _
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