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HomeMy WebLinkAboutCHARLES ST 22 24•Name Address ", cr·"" Service No.J ,3.2 C}'70r/i?:"cf.~r:jc:L Location@'pfI!C,,{drkS c.r/- Date • • Kind of Pipe Repair-Renewal-Xew Service .:'1-laterial Labor I~r Amount II Ii II Size Total i I' Date Size of Main Location Amount DATE • TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applie"for a supply of wateT at No.St.and hel'eLy agrees to comply with the l'ules and Tegulations as now,or at any future time,established by the Board of Selectmen, Am't,of Estimate $_'_ ~;\m't.Paid $_ Owner Address &/<;adC~_ _~2~Z""2*Chard-s ,J'.i. • Work completed _ Sketch of Service Here r----+ ,I i i _--r--~-_. I , i I,L- 1 i I I ! I lJuildeT .,u ====1 • I ',I i~-rr'i-I:I'FFJ--=t=F±-1 ;._:I-'-t-r-I '"I I ' , T T i;!;I II , !J I ,I-j---,'I I I I i'J71 •I '1_:,'i~L:/I-A_/"'-Vjl.i'~_,j,/""I ,I;I,ii I i.1 I,I'I 41 I I I I_LL_.1 I I,1 .!._I I WI -ii,Iii 1 1 !J _,,~._,i "V,I'I i I :I ilHi',.:I!,J I L,--.-J-I I .!~/.'1f i!!1'\I ;,i I., Cmmection made in ~;;-Street. Remarks:.~