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Name R.J.Rl.,'S:lUt
Address 'I S her:nan C:Jurt
e"....9-"-.,...,,
Service No.€i ()/0 :3
47 ~oS?
~.'ro burD,jiij;..Ss.Location 1 Lee ROi'G
Kind of Pipe Size Size of Main
9S
·75
1 t'5
17 1<,,8
Amount
Location
~nc:-n.-Chs..rg e
I
II
Total
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I,
i'I'!
1 -I......::
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Labor
P."tcLing 8 X ;S
LE..Qor
1:::%Qverl1e"j
~_..~NewSenice
I
I I'tla{-erialDate
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i:.ay 1,'r
....-DATE~~~~~_~_
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS •
WATER DIVISION
The undersigned applies for a supply of water at :'<0.St.and hereby ag,.ees to
comply with the rules and regulations as now,01'at any future time,established by the Board of Selectmen.
Am't.of Estimate S__~__
Am't.Paid $_
Owner
Address
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BUildel'=:;==:;=====:;~==================
Sketc~~Sernce Here
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Connectiol1 made in
Her::1arks:
_______________Street.W()l'k completed _19
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