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HomeMy WebLinkAboutEDGEWOOD RD 17Address r Name... Kind of Pipe Repair-Renewal-New Seniee Date \ Material \ Amount \ ] I \! \I " ilI\ \ , ,i I .\•\ I, \!IcI" I"I ,I'" \ ~\,!;c I '!.5 .;; \ I I,.::I II'"~l \ 0,~II).:i , I I 1\ Labor ,I \ .1 I \\ I I;1rI Ii I tf-t;3~.L Service No.7'T/ Size Size of Main Location Total II Date Amcunt II , \1 II I 1\I II I il I!: II I 1\ I, i II I II II j[I II I II I DATE ~ TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies fol'a suppl)'of water at "'0,St.and hereb:r agrees to comply with the rUles and regulations as now,or at any futllTe time,established by the Board of Selectmen. ~ • 19 x:~iiA.~~ L2J:.oLr tJ',"tL ~.Address Owner Sketch of Sen-ice Here --,'.',I 1 1-'".II 'I~II~'", I '.1 1+4~+~---,-,-,_---1-- 1 '"-+-:,'I'r---;"H--'-"rTi-:h 11 .'-',T,-+·'-I,'.', '!,'_-+-'"1,'ln .-~~i~++--I :l-iHi ,-m~I-rn-'1Wi~T I •.-1,-,-0 +i~1 ~-LJ - _I ~--i I ,---+-!I 'I rTr-+-I""IT 'W+I---'-'_','::J I 1-"l..J.'I ,I I 'J.~,+li:ii '[-HJ I I trt.:r-'+·.w,I;H-H~I,1---1-.,-I.,'I r-r---- cO,nneCtiOll made,in ~~"l---d...Street.<f\£.Work completed Ren1al"ks: Builder _ Am't.Paid :;;,~,_ Am·t.of Estimate $,~_~_