HomeMy WebLinkAboutBURLINGTON ST 93•Name
Address
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Service N o.~¥-33
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St.,
Kind of Pipe Size Size of :Main
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Amount
Location
DateTotalJ.Iaterial
5 r_rs.50--/
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cl T ;~::/4::~''~~or:~er
Date
1;;41
•
•
Labor
----.--
DATE ~2"9#.
TOWN OF LEXINGTON-BOARD OF PUBLIC WO~
WATER DIVISION
The undersigned applies for a supply of water at No.9..:?I ~;'1'~St.and hereby agrees to
comply with the rules and regulations as now,or at any fnture tIme,established by the Board of Selectmen.
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Work completed ._
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Owner
Sketch of Service Here
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Connection made in Street.
R:2mal"ks:
Huilder _
Am't.Paid S _
Am't.of Estimate $