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HomeMy WebLinkAboutFOLLEN RD 142•Name Address /tjI::?~o-L!J...r,,l?J. Service No.9/0 -#-7/8'S- Location /.¢2 h/~/7 ~ Kind of Pipe Repair-Renewal-New Senire Size Size of Main Location Date l'rIateria,}Amount Total I " Date Amount •c ;,! ~!i I ,. i<-, <"'-, c;; "'•, "'" Ii ~0;;;,;::,- Labor I ilI,• DATE 4t TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of water at "'0.St.and hereby agrees to comply with the rules and Tegulations as now,or at any fntnre time,established by the Boal'd of Selectmen. Am't.of Estimate $Ovnwr cL e=Who.5 Am't.Paid $_Address /¥2&ad~ • •19\Vork completed _ :>ketch of Service Here ____~~Street. =f"!\,I_~I~,~,---,-----;-r--r" -i "I ' , I ,-I ,' , :~!I :ijII c--',+--L-'~;I 4-, 'i r-H;-~a=t -,-1 -:.'1 '-J-l .~,,'; ,!_~I ,,~i=-~tf:t±F++t±b= Connection made in Ren1urks: Buildel'_