HomeMy WebLinkAboutBLOOMFIELD ST 2i\ame
Address
Kind of Pipe
Location
Size
'Service No..5'02
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Size of Main
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Date
Location
Amount
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
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DATE ..
The undersigned applies for a supply of 'water at No.St.and hereby agrees to
comply viiith thc rules and regulations as now,or at any future time,established by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid S ..__
Owner
Address
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#tn.,'G~tlT 'ffi.~
Sketch of Senice Here
Connection made in Street.
Remarks:
Buildel'_
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Work completed 19
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