HomeMy WebLinkAboutELM AVEName h.-oFlC7r C"/t?-/;-,e?/7Q/C;(vrcA SerYice No.F/3
•Address E //77 -.,.47've.tV /!o '-V UF\(t,.~I j.{Go--r0'"f\J.
Location E//77 A?ve.
• I
Date
•
,J
-R~
Kind of Pipe
Repair-Renewal-Xew Set'vice
]lIrIate:oial
I
I
I
I
I
I
, !
II Labor
Size
'\
!/Amount I Total Date
I ,
IIII
I IIII
I II
,
r I,
II
,I
I III
I II II I I,
I Ii
II /.!!IIii:r
III
II
I
I II
,
II
I
!III'I'!I'!I Ii III'II
I '/Ii II
I ;1 ,-iII
Size of ~lain
Location
DATE _
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS •
WATER DIVISION
The undersigned applies for "supply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen.
Am't.of E2timate $
Am't.Paid ~_
Owner
Address
----£,.~!c:;;dfr-yo6<uza,/CZ,m;h
£k /lve
lluilder _
Sketch of Sel'vice lIere
~~r'I '-H-',,! " ,-'"~!I,J "\_\.;._l I,'=g=,I,'f--'-T'j ".I,':,'],"'-:,~','"I ,1 --'----(-t--r I,..l',i .,. -I.I'I ;..l ,I-::r-r-\.L AIv.~I,,-\._I I,',I -+I ,.1 l
''I ,-l.,l:i~II.I,1- ..1 I I ~I;I,J,:~"TiI I !i J '.Ll-.JH~-h:,Cl-;'I !~;:,,!~~~~i !~,~,~~-~Jll'jl ~\;I,~'",-'i,'[1,1
'
1:'I,II +t-'T .,.'!,_,I '-t-l--h-i-+.11 ,I J.,L \.IL;----t-j -1 =r=I !I ,~~"liTi I ....LLJ'I ,"'
Cmnection made in
Remarks:
______________Street.Work completed ,19
•
•