HomeMy WebLinkAboutBLOOMFIELD ST 60'.Name L.J.'Rep'l.olds
Address .1736 biB:"II.'".ve "be*~pgtQn,
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Kind of Pipe
Repair-Renewal-New Service
Location
Size
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SHvice No.
60 Bloomfield St.,
Size of Main
Location
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Amount:
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DATE ~C;-,/9¥-(}
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
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Address
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Sketch of Senice Here
The undersigned applies for a supply of water at No.tp/~~,.~St.and hereby agrees to
comply with the rules and 1'egulations as now,01'at any iuture time,establi ed by the Board of Selectmen.
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Am't.Paid 5 _
A~'t.of Estimate /2/~
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Work completed _
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Connection made in Street.
Remarks: