HomeMy WebLinkAboutCLARKE ST 35l,'--,~Name ~tilic-?err~,r Service No.
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Address 2-C :lr:.r:~:e Strp.·-,t
Location
Kind of Pipe Size Size of Main
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Amount
Location
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i Date
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Total
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Amount~IaterialDate
I151lIt!Scpper tUbingC,-56 8 40
Labor 1'.
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1 III C ::::orp Cock
2 Hrs 10'm SnoveL'o.50
2 ;'rsIre;cjdY'C'I}.00
15 x 3 Patch
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1066
13 00
6 00
15 CO
53 06
DATE
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
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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 "",,,,.,,,,,,,,,,,,.,..,,,.,,,,,,,,,..,,,,,,,,,,,,,,,,,,.,,,,.,,...,,,,...,,""..."...
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made in Street.Work completed """"""".",,,,,...,,,,,,,..,".....19