HomeMy WebLinkAboutBURLINGTON ST 119Name ...;-ot:"E J ..~~ullen
LeziLgt-:];.,I.~8.S-S ~~ation ~l0 :3·~lr li.L.;~t ODSt r :.e t
Kind of Pipe
~~NewService
Size Size of Main
Location
Amo-untDate
i
/7j/'J
n..,,;lv,u J 17
Total
19 ~4
4 1"5
H ,D
Amount.3iaterial
"
Dale I
:~I '.;7
~-2.12"7
i
Labor
DATE"-_
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No..""" " " " " "St.and hereby agrees tD
wmply with the rules and regulations as now,or at any futu1'e time,established by the Board of Selectmen.
Am't of Estimate $..
Am't Paid $..
Builder ..
O\'t'ller ..,, , ,"",,.
Add"e58 ..
Sketch of Sen-ice Here
~-I II)~I I I
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Connection mad"in Street.
Remarks:
WOl'k completed 19