HomeMy WebLinkAboutFLETCHER AVE HEN HOUSE•Name _
Address j-/e 1-,0 Iuv ~t,
Service No.i'7/
Location ~kfifr ,4Yll!',%/7 ~P.ft!'5)
Kind of Pipe
Repair-Renewal-Xew Service
Size Size of Main
Location
Date
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DATE •
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The und€rsjgned applies for a supply of water at ~0,St.and hereby agrees to
comply with the rules and regulations as now,or at any fu tuI'e time,establhhed by the BoaI'd of Selectmen,
Sketch of Service Hel'e
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Bujlde>'_
Conn-ectian made in
Remal'ks:
Owner
Address
Work completed _19
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