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
•
•