HomeMy WebLinkAboutBROOKSIDE AVE 24•
Date
•
•
Name
Address .;;'I
Kind of Pipe
Repair-Renewal-New Senice
I MaterialI~.-/.~sicle
J;on Py;€-
Labor
Amount
Size
'I Total,I
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,I
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'!
I
Service No.
Size of Main
Location
Date
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1"&11,,-9/~y'C90,...oe,-
¥/{P,.
-#rSL77
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$0"613
Amount
,DATE.
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of watel'at No.St.and hereby agrees to
comply with the rules and regulations as now,or at an~{fu'ture time,established by the Board of Selectmen.
Am't.of Estimate $,_
Am't.Paid S
Owner
Address ~J~~.2 (3
Builder _
t===============================================
Sketeh of Senice Here •
Connection made in ~~:"<tr"ty(;.-o.',1 O.Street.(l/".-Q..,Work completed ,
Remarks:•19
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