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HomeMy WebLinkAboutBERWICK RD 11•Name Address t'ohn Fa rature / /JJFR tJ/lCj(~I1-D Location II&rW/c~ Service No..281£42 -If 5:5/() Kind of Pipe Size Size of Main "5 -_.--~--'......... Amount ;~;/i c".' ~/Vy Location ./,...:;./>:....f",-_:~A#> 00 i, ()C ! ,li//;//_"'r1 07 i I161 ':I....\~-....,';! LB 80 :.<3 I 91 I~' 81 \5?II ' -::::;I !c:''7 '! ...-......' I . 11 I <2 Ii eS [i~.\ .3,00 'I:.l5;00 I 1 7 I 20 Total I:!I, \- 11, 39 !72 II 1(1 80 i', ~Material Labor' " Am"unl,":1 ,., 3·'1721"'7 I _I "41 ..eo II ~~:"v:~:perpi?ei .79 8 1 15 Ii 3/1 vrte el ia'ldlp..tc~!J;-._W&rte E-rs."t..rl.:.ciinr ~80 !~\-.....:1il!.! 3/1'1 .cc'Z"'pc~2ticn I Labor 3/4"cure ecct[ Box g..red 3/;'"coro~:r~;~~e .,,1 ":Irs.trl.i.ck ng "1 11 Ca se an eve}: " Out3~~c_e Labor 2 4 Repair-Renewal-New Senice tDate • ~ DATE • TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of watel'at Xo.St.and hereby agrees to comply with the rules and regulations as now,or at any ftltilre time,established by the Board of Selectmen. ilm·t.of Eotimate $__ Arn't.Paid $--- Owner Address ~.e.,C;;~fhA.. /1~\Rd.... i , Re-n1urks: Connection made in .-B~.cl.(Street.tf\oL., • .... 19\Vark completed Sketeh of ScITice Here -'I-I---"~'1-I '-I'1-1---'"-r-r-I ~I I -+_ 1 1 '_rt-Lf-1 I r-:rr-r J_---ji'...u,t ~,___TT1-n T --+r,_~:t:::+-rTi~~±j _ I 1 I ,i rl-i r-rl_Till I -=e'}~'ij~iBEj-r r-rcr-;--I 1_~~',1\.1:1"1 r , i , Euildcl"_