HomeMy WebLinkAboutCHARLES ST 25•!'lame
Address
Kind of Pipe
C/)ctr /e5
L-ocatiOll 2.5Chor/!:s Ji:
Size
Service No.J.,j'Y#7.;{Jl
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Size of Main
Date
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Repair-Rene"'al-Xew Sen'ice
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Labor
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Date
Location
Amount
DATE _
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS •
WATER DIVISION
The undersigned appues fo1'a supply of water at No.St.and he1'eby agrees to
comply with the rules and regnlations as now,or at any future time,established by the lloard of S€lectmen.
Am't.of Estimate ~._
Am't.Paid S
Owner
Address
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.2.5M,0h.~uL-
Connection made in Street.
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Builder _
Ren1arks:
Sketch of Service Here
Work completed _19
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