HomeMy WebLinkAboutCHARLES ST 11Ii!.
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Name
Address
Kind of Pipe
II Charles
Location 1/Chorks c/'I
Size
Service N o.~.2?
Size of Main
Date
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Repair-Renewal-New Service
~Iaterial
Labor
Amount [I Total
il
'I
Dale
Location
Amount
DATE ~
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS •
WATER DIVISION
The undel'signed applies for a supply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at any fnture time,established by the Board of Selectmen.
Am't.of Estimate $ _
Am't.Paid $~_
Owner
Address
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Buiider _
Sketch of Seniee Here
Connection made in Street.
Remarks:
Work complet€d _19
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