HomeMy WebLinkAboutCHERRY ST 2•Name
Address 7'!';;,~~
Lot S:-0 ---?-~~~~"\J"'e -.-,
Kind of Pipe Size Size of Main
Repair-Renewal-New Service Location
Amount-Date
ii
II
,
I I
F;19[36 [
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Total
'I2,40
11 61
1 50
40><__·4 ~
2 DO
4 i
Amount
I
?2'711
75t'
!
Material
l"Erass Ni;'ple
stop &:'..;aste
Truckin.g
Date
Labor
•
~O/15/ct 4 ~~s.3 50d,'-,-b.~,
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2
1
1
1
•
DATE I /;'/;-'y
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION •
<...-.
The undersigned applies for a supply of water at No../'""I ,-r-'-~.'-4'.~and heTeby agrees to
comply with the rules and regulations as now,or at allY fu trire time,e8tabli~hedho'the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid S _
Builder _
Owner
Address
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Connection made in
Ren....arks:
____________Street.Work completed lS •
Name
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Location
~epair-Renewa1-NewService
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WATER SERVICE RECORD
Service No.
Date Material Amount Tutal 1 Date Amoont
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DATE J;L·.r-<r 2
TOWN OF'LEXINGTON -SOARD OF'PUBLIC WORKS
WATER DIVISION
Sketch 0 f Seryice Here
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