HomeMy WebLinkAboutBLAKE RD 97Kind of Pipe Size
e-Name
Address
Charles J:;.Fer~s.on
~8l~:2'J·':g"ad
Location
.-It .:2.t Y,j-r'7 Blake Road.tots 16 &17,
Service:No.~Zfr-B
4-~rt{?.,
Block 12,Lexi.ngton Manor
Size of Main
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JJ:!tMszJfJltj L...New Service Location
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AmDunt
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DatemountTotal
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'R1 2°1:::.
75[
75 $lD 7(
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19 e5 I1SO 21 05
2 11
°33 86'"'...-
$3.6 00 $36.oq
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A!flat.rial
361 "CJlipe @.20
1 S &W
'rQ,okiDg
Date
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~s.-!35 s.Labor @.65
j 3""@.60
..:i 0%Overhead~
..COST--~
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_~HARGE.36 I @ $1.00
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;I ~-<L37DATE~.Pi,/r<.S
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION~/d~IU.2
The undersigned applies for a supply of water at #'0.16 'f (7 ~&m.and hereby agrees to
comply with the rules and regulations as now,or at any future tim;;:e'stahlished by the Board of Selectmen.
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Skekb of Service Here
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Connection made in Stre'et,
Remarks:
Builder _
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•
19Workcompleted_
~~.d::dL.....of ~.Address
Owner~
Am't,Paid $..,,;'1:-71--_
Arn't.of Estimate $S Z