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HomeMy WebLinkAboutFOLLEN RD 22211 Plymouth Rd~; ::{{;2:;(~"oad Location Name Address W.H.Larson (a',mer:i"ran J.t!oore) 222 Follen Road Service No.~9.Y.z ~J7f2c;/ ) r Kind of Pipe Repair-Renewal-New Service Size Size of Main Location I22rs~60~1 20 'to lO;£;:'verhead'12 1 3/4"~.A"_,'-',C'"I ,I 1 3/4"~",'nion (3 it,art)I it 1 hr.trcLCkL:ogs r?5~,I Trench repairs I "~\I, il \, AmountI',I\i " ilIi IIp I !I ArnoWltMaterial Labor Da:te 1940 Au;;.2 , ~~ • Ie DATE f2;i :J~I/'irs • TOWN OF LEXINGTON-BOARD OF PUBLIC WOR WATER DIVISION ,The undersigned applies for a supply of water at No.c?:l2.aJL,£~,St.and hereby agrees to comply witll the rules and regulations as now,or at all,}'future time,established by the Board of Selectmen. Am't.of Estimate $._Owner Arn't.Paid $_ Builder a.1/£:-'" Address Sketch of Service Here /,/./.-' •HI ~'"f/1 I I I I I I I J...I 1..1 ' I 'I I I .1 I I T =t-~I '-,I ' " I ......Y V-I ;I ,•I I ;.J J J I J !1 ,I i I +H'I , I " I I "I :T I " I i ,,,,,, - - I 1 I I I I I ,!I ' =t---++'I I i:ll i I I I V-i I ,I , I ~I:f----+--j -",I I , I "T " I IIM'lI'..v.l .1 , I I ,' , I I !I I ~DII:I r.,,'"Vi'~l I ,I I i I .I ' ' I ' ,f""I r-\t.1/" 1 •.1..",',1 I,Ii', I ,1 I I I I I:U.',..,\I I I ' r !I I I I - - ---."fIein~Street.- -Work completed ~. Connection rna Remarks; WI!