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HomeMy WebLinkAboutBURLINGTON ST 51•Name Address S/6i02L/'?31on Sf Service No.-',L27" Kind of Pipe Size Size of Main 1'1 ! Date • • Repail'-Renewal-New Senice I J\lat€rial Labor Amount II :~ ! :1 Total Datt' Location Amount ~,DATE tt TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of water at Xo.St,and hereby agrees to comply with the rules and l'egnlations as'nmv,or at any fnturc time,established by the Doard of Selectmen, -i I-n-,Ti II i--+I I I I '!"rT!TITT'Ii-,T .I 'i I I I LI I ,,!!-.I I I I ;I ---L~.1_I L'_~I I'I 1 1 I_I ,i I i I I I--.LJ',I I I I I ,I , I I-i-II:I'-'~--,--'-r l I ~"I : 1 Y-h-I h-,-----h- I I I I;Ji~;,I i~~I II'In -n i j- _L_I 11-j I ,_"__I I I '\J 'I r,,'II I iL_~, I T I I I I I I !,;l>",1',~,i', ! ! I I,·i 1 ";.1"'1',J ,!!++'"I i -li-~'--!---!....,I'\"!Iii ,jl '.,-rr! I 1 1 1 ,1 1'-1 I !!1 1 'I I CO,nn~ct;on made in ~~~treet,O:-:s c·Work completed R~a~s:~ ~...u- r=I Am't.of Estimate $,_ Am't.Paid 3 Buildcl'_ Owner Address Sketch of Senice Here (J,.}.1"~"_~_ .£/hAA4.L;......;yCO'V'--3-e· 19 • •