HomeMy WebLinkAboutFAIR VIEW AVE 11•Name
Address
Kind of Pipe
Repajr-Renewal-New Service
Location
Size
Service No.?.3()
Size of Main
Location
Date
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:\'1 ate-rial Amount Total Date Amount
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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
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Connection made in
Renlarks:
_______________Street.Work completed _19 •