HomeMy WebLinkAboutBERTWELL RD 78Serviee No.~.z(J::I ?•Name
Address
~altpr Eosselnan
6 :iiil,iw0od Eoad.Medfol'd
7'J 8e-t-i...LUe//Rd
,l,lass ..
Loeation 78 Bertwell 0oud.
Kind of Pipe Size Si:ze of Main
:aepair~~NewSendee Location
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_I ~1.::2..3
Amount
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13 55 tl","",,-~''f'k>I1\;
1 351 i
6 1 12 (I!
21 25 ,I!,!I
1,50 ',;
24 77/
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Material
13 r:rs..'GO¢'
5 "2 55,:
Vate
}S'40
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Cet.24
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:t ?,I /7'yd.DATE,J.d'
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applie"for a "upply of water at No.7 if c:&4 c..i!!,t/JW.and hereby agrees to
comply ",ith the rules and regulations as now,or at any future time,established by the Board of Selectmen.
$",~o'".Jr-/~-._--
Am't.of Estimate $~-
Am't.Paid $_
Owner
Address
4ra.ez;;~4e-£.~
c /)/)/~0 d //ki
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19
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Work completed.
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Sketch of Service Here
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Builder _
Connection made in Street.
Remnl'ks:
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