HomeMy WebLinkAboutFOLLEN RD 206•Name
Address
N.1>..Colbert -Service No.
~;-,I
Lexi-::1gto.n,_<e.S s ..Locatinn 2c6 Pollan '<oad
Kind of Pipe Size Size of Main
Com.8-23-48 Locatinn
24 r:fi~-
7L:,
"'l 82/-
I..rojoo
6-10 2
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6 \JJ
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9 1L\-4-
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1 I-I.on-'Cl:la!'ge I
3 \15 Ibme 2),'','d I ~a:~"')r I~-l,IJ7 r,S 7':;,13JI..'."'fcp,:,e!'::;;;~ng ;,.25~
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-~.~_3 '-'_9:,..1..:-'':ece <,,-"71.-----.
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Labor
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Date Material \AmoUI1t
J'.>ne2.,,I"-\Labor II
10",:',ver',e ad
Uc.'-3/W"coop~r '::\:bi:1
1 0 "',"C''",~I ...'f'-_;/~v x:--,,;.-\'.~-:.
r~l~_~'_{L'1g 1 !":r.".75
I;.:~:,;:~:;:3 \w
Trench dug by 1wner.
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~DATE ~
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 an:r future time,established by the Board of Selectmen.
Sketch of Service Here
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Connection made in Stl'eet.
Reu1.::u"ks:
Am't.of Estimate $_
Am't.Paid $
Builder _),
Owner
Address
Work completed 19
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