HomeMy WebLinkAboutCOLONY RD 24•Name Geo~gG ursnt
Address 24 Celon:,Ro ".~
Service No.eo :3 /..5'/'
#6.:1'3/
Location
Kind of Pipe Size Size of Main
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Labor
Date
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DATE •
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen.
Am't.of Estimde $ _o-wner
Am't.Paid S Add.l'ms
Builder _
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Sketeh of Senice Here
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Connection made in Street.
R€marks:
WOl'k completed 19 •