HomeMy WebLinkAboutELM AVE 11Service No.J>//j'•Name
Address
Kind of Pipe
Repair-Renewal-New &rvice
Location //£//77 .qve.
Size
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Size of ~1ain
Location
Date
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.Material
Labor
Amount H Total,
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Date
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11
Amount·
DATE It
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hel'eby agl'ees to
comply with the rules and regulations as now,or at any tuture time,established by the Bom'd of Selectmen.
Am't.of Estimate $~
Am't.Paid S ~_
Owner
Addl'ess
f}.-z:Muz,_
//8/77 ..eve
•
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19Workcompleted.
Sketch of S enlee Here
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Builder _
. -(9-~Connection made in Stree '.
R"2ll1arks: