HomeMy WebLinkAboutBERTWELL RD 65Name
Address 0'7 8-e_/J.-u:,LLi /Pd
Kind of Pipe
Repair-RenewaJ.-New Seniee
-;It-37/0
Location 0.5 Be"/N~//
Size
Service No..26~
-II ~-1/-7/
Size of Main
.Location
Date
•
Material
Labor
t
Amount Total Date Amount
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13'·~C"'ppc-r-
1 ~c,r>y:>Cer-po 13J...p
1 %c..,.....,..C"'...b S 10
I ,Cop'Tr-o'"rlJa"
l 1 Do,",...RecJ...
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DATE t..
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
Thc undersigned applies fQl'a supply of water at No.St.and hereby agrees to
comply with the rules and l'egu)ations as now,or at any future time,established by the Board of Selectmen.
Am't.of Estimate $_
Am'!..Paid $_
Buildel"_
Ovmer ~Or ~--'-'_
Addre8s b.5 #n~J1.cl,
•
Connection made in
Remarks:
~M~Bd..,Street.Work completed ~_
1
I
19