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HomeMy WebLinkAboutCLARKE ST 35l,'--,~Name ~tilic-?err~,r Service No. 1J I Address 2-C :lr:.r:~:e Strp.·-,t Location Kind of Pipe Size Size of Main ~a 00 '",Gj"- Ie.11 "-:-""7'5 -...); 37 3D 10 24 Amount Location 1zt:t;}EG~1-'-....hs.r2.e J'~l+S '47 Ls~cr , i Date ~? l :/.....,~,,::.~/-.,.( Total 3 ,C·? !c,J... 9 14.~· '"][~'-' '7 ,-.c. 1 ."74c' Amount~IaterialDate I151lIt!Scpper tUbingC,-56 8 40 Labor 1'. i 1 III C ::::orp Cock 2 Hrs 10'm SnoveL'o.50 2 ;'rsIre;cjdY'C'I}.00 15 x 3 Patch I 1066 13 00 6 00 15 CO 53 06 DATE TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS WATER DIVISION ,J~_ The undersigned applies for a supply of water at No,......"...,...,......,..."""....,..",..."".."""",,,,,SL and hereby agrees to compl:\,"ith the rules and regulations a"now,or at any futme time,established by the Board of Selectmen, Am't of Estimate $""""""""""" Am't Paid $",,,"",,,,,,""""""""", Builder ""'"''''''''''''''''.."..,.""""... Owner ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,...". Address "",,,,.,,,,,,,,,,,,.,..,,,.,,,,,,,,,..,,,,,,,,,,,,,,,,,,.,,,,.,,...,,,,...,,""..."... Sketch of Service Here r "! !I "I I I ,!\ i I c::t=,i I ~1 !-l-"j' ",1- 1 c_..-~f-L , ,i,~\ !'VJ ,jl I , I ,1I1 --LLlf+ !i r-..TTi I I I "'-".""-: I 1 ; I I II Ii T ~ I ~:.JI'LL I r, ' 1 -I i T Connection Remarks: made in Street.Work completed """"""".",,,,,...,,,,,,,..,".....19