HomeMy WebLinkAboutBRIGGS RD 10•Address 10 BrigF:s Road
Service No.
Kind of Pipe Size Siu of Main
8-23-48 Lomtion
J""ult 1
!
J0jo o
t:.1..<f
.y'j-/7!l
l?11~~-I'
9 113
'3 Ie 0
3 ,",sa
3 i55
1'30
),,0,
,/J
17 130
75
Amount-•Amount
I,seer
I Labor
r \,,'-~~'
~lateTia]Dale
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DATE •
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a sUlIP]Y pf watel'at No.St.and hereby agrees to
comply with the rUles and regulations as now,or at any futUl'e time,established by the Board of Selectmen.
Am't.of Estimate $_~~~_
Am't.r"id $
Owner
Address
Buildel'~__~_~__~_
,
Connection made in
Renlal~ks:
Sketch of Service Here
_~~~_~~_~__~~_Street.Work completed 13
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