HomeMy WebLinkAboutCEDAR ST 107•Name
Address
Service No.
Kind of Pipe Size Sizt!of Main
Location
Amuunt
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Labor
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Date
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•
_'DATE .'
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,Or at any future time,established by the Board of Selectmen.
Am't.of Estimate S,_~~~_
Am't.Paid $~~_
Builder ~_
O'wner
Address
Sketch of Senice Here •1-+Y-1 I~!I I I I,1
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s"'......-<>¥l"Connection made in Street.(4 .0'~."·Work completed ~~~_
Remarks:(.!P "\)J~,--",0
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