HomeMy WebLinkAboutCHASE AVE 14•Name
Address /1 live,
~.,Service No•..5.;.L3"
::q j2-j/cy
Date
•
•
Kind of Pipe
Repair-Renewal--New Service
Material
Labor
!
I,
Ii
i
!I!
Size
Total
rj
IIj
\,
Date
Size of Main
Location
Amoun.t
II
I
I
I
r
I
DATE •
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby av,ees to
comply with the rules and regulntions as now,or at any tu ture time,established by the Boal'd ot Selectmen.
Am't.of Estimate $ _
Am't.Paid $
BuiJder _
Ovmer
Address
Sketch of Service Here
~.~~
III $H=~~.
.-
i,__
Connection made in C1d/~
Remarks:
Street.~Work completed _19 •