HomeMy WebLinkAboutBRIDGE ST 62•Name Henr:y G~e.st8r
Address 62 BriG-g2 S trGet
Service No..§is
Lexington,Mass.Lo~tion 62 oriGge Ltrcet
Kind of Pipe Size Size of Main
Re)lair Renewal New Service
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Date
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July
DATE •
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a sllpply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at any futnre time,established by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid $_
Owner
Address
Sketch of Service Here
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.l:\uilder_~~_
Connection made in Street.
Remarks:
Work completed _19
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