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HomeMy WebLinkAboutEATON RD 12•Name Address Kind of Pipe Location Size Service No.'7?.3 Size of Main Date • • Repair-Renewal-New Senice J-laterial Labor Amount Total ilII i Date Location ..0\muunt DATE .. TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for II supply of water at ~0,St,and hereby agrees to comply with the rules and regulations as now,01'at any ftl tlll'e time,established by the Board of Selectmen, Am't,of Estimate $_ Am't,Paid $_ Owner Address ~~ /2 t:'a;t Cn-v If.\J.-. Bnildel'_ Sketch of Scnice Here ~I~'....~I..,"'-...1 I'u,~I I 1'1 l'rTl..---;-T,. ,..''.I I .,I".I II LLJ;•'I:-J!--,.._/1 ~I !II:'I ,tTl I!I-I r~._,'i I :H ii,r I I,.I''J !!!!! ..1 .',.11 J ..1 '.,I'I!I!''~.'_'.'.'H.----r-rTTl 'I.I 1'1'I!',!_' _I_',.J ...I~!I'"",!!!I .J_id=:::!,I !.;I i !i~'.!I '_~;I I T ~ll I!Iii ...1 I .!i,1 1 ,I I 1_l'...r .','I •I I I'H T--:--1-I !I !I I I I J I I '.:,...,;I..,1 !!•I 1 I I !;'I I ;I I I 1 'I,",S'1"'-I.I 'I .."I; --T I Ii ' I ,'I ,I I'N I'I I I I I Connection made in [;o::t.-l.rJA,.,.street~11 ~rork completed Remarks:~.W \Y'- ~~ 19 • •