HomeMy WebLinkAboutCHARLES ST 30•Address
Kind of Pipe
Ar·,-.JV Sf
Size
Service No.,.3-,3 0
#/Tdr
Size of Main
Date
Repair-Renewal-.:iIew Service
~Iaterial Amount Total
.,
Date
IAlcation
Amount
•§il~
~"I'•~
~
'";100•~
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Laoor ,I"!'•i
II
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DATE •
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at Xo.St.and hereby agrees to
con1ply \li.'ith the rules and Tegulations a.s no\'j.',or at any fu tUl'{~time,established by the Board of Selectmen.
Am·t.or Estimate $_
Am"t.Paid $_._
Owner
Address
Xvt-£.r:,~
.g~Oh-~<St·
Connection made in Street.
Hemal'ks:
i
Builder _
Sketch of Serv;ce Here
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\\'ork completed 19
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