HomeMy WebLinkAboutBERTWELL RD 75•Name
Address 7 S &rhv eJ/If"d
Service No....?-.7'
4F/r0 G
Date
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Kind of Pipe
Repair-Renewal-New Service
!)Iate.rial
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C.)..Pip<
Labor
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Amount
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1\
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Size
Total
Size of Main
Location
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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 $,_O"'"Iler IiF:z(J.A -Z;ihe/b
Am't.Paid $_Address Z-f 8--4",,//R?/
Sket h of Ser ice tlere
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BuiJder _
Connection made in Street.
Remarks:
\Vork completed 1~
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