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HomeMy WebLinkAboutBERTWELL RD 69•Name Address (0 '1 8~If'd Service N o.~(/[,t;., .:33'3}' DateDate • • Kind of Pipe Repair-Renewal-New Senice lflaterial "T;..s,JeICl...p~p< Labor Amount Iii Iii I IiI;I' "i; i .1 Size Total IIIIlb.15·~ I Size of Main Location I O .....-\-S\dte..' 8'·~Copper t ~..Co""p ('~rp,II<Jd<lLD I :3J"C:rr.,p.Curb oS I Cop-'+ro-r> I..f3 0)L"1-K'.,.~ Amonnt I 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 nlles and regulations as now,or at any future time,established by the Board of Selectmen. Am't.of Estimate S~_Owner Am't.Paid $_Address £9B~,/4/el/£/ Builder _ ~ketch of Service Here •I ,I !I I !,,!' I_.'._.i "I 1 I I 1 I ,,1 f---.I_i _,I , .....-.,-I i ,!;, !1 I I !,I -,I I :II 1 I,j'I,;;"'.'"I Ii 1 1 j ;iI ""\/j'j !I ,; ,. 1 ,,.,.I/'I!I'I 1 ,!!.- j •:>\J !;i I 1 1 ,I L ,;!1 1 i I 1 i "".;1 ;;:I '!!,, !I, Connection made in Street. Remarks: Work completed _19 •