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HomeMy WebLinkAboutEAST ST 224Service No./7~· Location ";'/~L J~;F S t 3 t ;:e -3 t- Kind of Pipe ~r.",-~m;......New Senice Size Com.11-8-49 Size of Main Location Amo-unt A ~OQ ,. '"', 0<0 ,j ::.----.::;; ~:-.:?,,- "-1> 3 :.;.;; "---;';.;- 3 r 37 l/7 --- 75 2 "7 1.1 Material Labor 1 - Date DATccE _ TOWN OF LEXINGTON -BOARD OF PUBLlC WORKS WATER DIVISION The undersigned applies for a supply of water at No ,, " ".., "St.and hereby agrees to compl,>,with the rules and regulations as now,or at any future time,established by the Board of Selectmen. Arn't of Estimate $.. Am't Paid $.. Builder .. Owner ' ,. Address _,'. Sket.:h of Servi<:e Here , 170....I'" ..... ~\I J ./V I'-'.'I 1/I v ,L1::'V -"I \Irkif y \"!V V-I--'.-I?i'It',~ I Connection made in "......................Street. Remarks: Work completed .....::.::.-.~..;=:;;;:~."::.,"~=;;;i9-------