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HomeMy WebLinkAboutCOLONY RD 39.,.•Name Address Location ~,~,,~.)c Kind of Pipe Size Size of Main Location Date Material Amount To-tal Date Amount ~).-'.-" ~.-.-~ ~-.....: ":::[0 .2 t,; :i ·G'j, -.......~--l-,."""'!',-~Q e.".,r I_s.i _ ., r :_',-_- ,, -:'/'i , -,I . ")/'"!-rri,i- I~i -::::::..~C' ~!r=­ ~~~i;l 1 ., ~,-f -..~. ..,! IdI I '-~; ~, 4 ! "'---;-II III, I " .-J!- ---'-'- 1 i.·" -,-.r .-/,I 'r 1 ....1 ,I 11:1 l',I' I• • Labor f,!' 1 ~t.T'·~" 1 ~.-, ~1 )0 -~ DATE •! TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of water at Ko,St.and hereby agrees to comply with the rules and regulations as now,or at any iuture time,e3tablished by the Board of Selectmen, -I=R ~Jn::r~T !l~T!!-4-l-l.r 1\i !I fT , I I i I '..11 I I "I,I I I ''!I I ,r l+,,I 1 Iii 1 j 1 1 1 Ii 'Iii 'I Iii Ii !i T 1~"LLLf-h-'"I r ','TI. -I -!i I :+l [II !Ir±~,,',i I'1 ,~"!i '~H=+'!'-,--.;,.1",II i'I ,i .'',,!"I J"!'\I:''''I i"I/o I I !I'"#=''I I "I ",,on'\...I'1/"!\'H'!1 T -l ,.J''1,'Ii,Ii"Ci'\',/,!I'\411':ii,1 ,I :I 1 ,J,I ',1 1"1 -"",'\Vi vii ,- f I !1 ~_'I I"_I I I ,II_I 1 -,iT1 !,',II I I ',I il i l~lTi' Am't,of Estimate $_ Am't,Paid $'_ Builder '-~ '\... Connection made in ---- Rerrmrks: Owner Address Sketch of Service Here _________Street,Work completed _19 • •