HomeMy WebLinkAboutCRESCENT RD 3•Name Lex:I.T':'i~~tGn
Location 3 ere scent .oad
•->Service No.6/6
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Repair-Renewal-New Service Location
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Labar
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TOWN OF
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LEXINGTON-BOARD OF
WATER DIVISION
DATE CZrT";Y
PUBLIC WORKS
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The under8igned applies for a supply of water at ::-r0,v ~g •..:I'~~and hereby agrees to
comply with the rules and regulations as now,or at any fu tllre time,established by the Board of Selectmen,
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Am't,of E8timate S
Am't,Paid $_
Buildel'_
Owner
Address
Sketch of Sendee Here
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~l-Connection made in Stl'eet,~XVOl'k completcd _
Remarks::....
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