HomeMy WebLinkAboutELM AVE 5•Name
Address
Service No.?/.z
Location .5 £//77 Ilve.-?
Kind of Pipe
Repair-Renewal-),'ew Senice
Size Siz-e of Main
Location
Date
•
•
Material
Labor
Amount Total !i
i!'
I.!
Date Amo-unt
DATE _
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS •
WATER DIVISION
The undersigned appljes fO}'a supply of water at No.st..and heTeby agrees to
comply with the Tules and regulations as now,01'at an)'future time,€6tablished by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid $ _
Owner
AddTess
lIarn0t:£'u
.£Eln7 .£},«-<V"""'---_
Renlurks:
•
•19Workcompleted_
Sketch of Senice Hne
Dl1i1del'_
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Connection made in Stl~et.