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HomeMy WebLinkAboutBOW ST 72Name Address Kind of Pipe Size Service No.S 6"3 ft:J?f?-,ry::{S-~ Size of :l't1ain Date • • Repair-Renewal-New Service I Material Labor Amount Total ., Date Location Amount ,DATE _ TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of water at No.St.and hereby agrees to comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen. - Am't.of Estimate $_ Am't.Paid $_ Euilder _ Owner Address Sketch of Senice Here 'nt.vt.I )J.f;.LJ ~ Z2/f;a:~e-tAr"..s t· ItTl+++4~_rlTI -----, ic-+-+I _.~-i' I I I -+-;i.I I ~I I Connection made in Street. Re-nlarks: - Work completed _19 •