HomeMy WebLinkAboutBLOSSOM ST 18Name ·}8:0r~e-'::::.tCrah,.Jr.Service No.
Address X!6:trn~~18 Elossmn Street (Per £ng.11-2-66)
Labor
r;,
r::70"
7 6<=:/
3 .'~o
3.6e
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30
3 c:c:~~
21 '·JO
7~
Lc:'93--~
Amount
Location
Size Size of Main
AmountMaterial
Lit-tle 2.el d St:..cprel :1 hrs.'Q 1.00
,Tru~1{i ~
II Total jl Date ]
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3h,~""'1 .,:C hrs "'1'7 'in 'I I·_v~...-_)2---."-I .\....-.2~S·:)1 -3.Cor8-cock
'Tr'J,~',=::ng 1 )..r.'.7'5 '75 ,[1 -3/tl ,x 1./4"~'-',lrC-GOC'
?"tcLing 1M x 3.'le 00 [I -Jeri 01'r set Tall :='iece
~11 ..70:05 ,1 -8 I ~t.a~ght ~a::l ?tece
1 -Eo &::loft
Kind of Pipe
~it~J(~NewService
Date
DATE _
TOWN OF'LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undel'signed applies fol'a supply of water at Ko.",."..",..", ","",,,,,, ,.St.and hereby agl'ees to
comply with the rules and regulations as now.or at any futme time,established by the BOal'd of Selectmen.
Am't of Estimate $"" ,..
Am't Paid $", ,
Builder "".",..
Owner """,, , " , " ,.
Address ,""'",.
Sketch (If Service Here
Work completed ..,19Connection
Remarks:
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