HomeMy WebLinkAboutCHARLES ST 29•Name
Address ;)9 Char Je5 51
Location .29ChQrks cl'1
Service No.SifS
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Kind of Pipe
Repaire'~XewSenice .A-KL£X
Date :llatel"ial Amount
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Size
Total
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Date
Size of Main
Location
Amount
1
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Labor
I.,
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 l'egulations as now,or at any future time,€stablished by the Board of Selectmen,
Anl't.of Estimate S-----
Am't.Paid S
O"'"1ler
Address
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Sketch of Service Hel'e
Bnilder _
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Connection made in I (J'1tree~·c t JVOl'k completed _.I'H .p~Renlurks: