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HomeMy WebLinkAboutDEE RD 11•Name Address Kind of Pipe Repair-Renewal-New Service Location //P~e ~d Size Service No.7/~ -Itt!f?l Size of Main Location Date- • • )faterial Labor AmQWlt 'II', I Total Date Amount DATE 4t 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 future time,established by the Board of Selectmen. Am't.of Estimate $_ Am·t.Paid $_ O"mer Address ~~. IL JJ-JU-Oi d.... Builder _ ,i .-,-,3 !FfEITllifE3 • ",I I ,I _,i , - I I Sketch of Service Here I I !I 'I I I I I I'I i I ~ffiffiR ..-I I r .. . I Connection made in ~..JLL...Ci~ci...Street., Remarks: Work completed _19 •\