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HomeMy WebLinkAboutFAIR VIEW AVE 11•Name Address Kind of Pipe Repajr-Renewal-New Service Location Size Service No.?.3() Size of Main Location Date • :\'1 ate-rial Amount Total Date Amount • Labor DATE 4t TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of water at No"St.and hereby agrees to comply with the rUles and regulations as now,or at any futnre time,edablished by the Board of Selectmen. Am't.of Estimate $ Am"t,Paid S _ OW1wr Address i£/!qCt"12aa9"" II &11'-heW ae Builder _ •- Sketch of Service Here --1 i L I i I I !I ,-II!!I H-,-'---•I I I !1 .!-!;,r-I i I •1 •I 'I IT , ;V I _.- I 1 i J I •1\I ;V :i I •: i 1 Y 0-I I I I ,;i '1 i I I 1-'il-I I 'TI -~ I ,...1 .J/,!!!'!~'\~.,I I,i !I I I ,t)W ..J 1 ,1 iI ,I I i I i I 1\1 L 11 I I I I i,_LI 'r i i V I i I---r,!I I :!!_~I ;i-----~ Connection made in Renlarks: _______________Street.Work completed _19 •