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HomeMy WebLinkAboutFOLLEN RD 224•ROfid Service No. ./ • • Labor Location Sire Size of Main Location Amount ~I~) \)': "):':. 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 any future time,established by the Board of Selectmen. Arn't.of Estimate $~Owner Arn't.Paid $Address Builder _ Sketch of Senice Bel'(!• • 19Workcompleted_ :\.,, I ,',.,L,~',L,-J~-:-:-... Connection made in Stl'eet. Remarks: NlIJDe'John ];Jates Address 224 Pollen Road•f-----. I L",xington..,j'l~as s •Looltion 224 JI'ollen _Roa~ Kind of Pipe Size of Main Location -, -.•-c:l 3 GO 3 63 3 55 30 30 14-00 75 __ 55~_ Amount "'hovel hr.D 7.00 bruckin'lr.-'.75 Total Date 12 30 lj;''If 1 23 'Jl 12.[30 Amount I"bin3 .-f".S~13 01 hon-Charge_:J ii.H.S ~:if 3 IS J-:1L 25 Labor c,Jnion (---........s ...,32 l i T 3 I.rf ,,-i ~,,2/)'~:/v }'-,--'+°p9-er .L.uo ng 1 lk-Lr ~.00 10 SO 3/4 "orp-cocksfl--v 75 75 1/4 n </1'"Curb-coc~fl--,~-.~~ 2';0-0 ..:)ox 67 26 fL -"tra o;;'1t Tail ?~_eee"3- Material Labor Labor 107;Overhead Sl'-1/h"C OlDe 1 -JIlt-lie-x ~"I 1 -_1/4"c x 3/L Litt1efieli ~~ov rruc::ing 1 hr.", Ys.tching 2 S x 3 Date ci-~.H • 1.- [J111.26 '4 l _?k DATE _ TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS • WATER DIYISION 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 future time,established \}y the Board of Selectmen. I l>!I'~~'.<1 I 1\!V V..- \~~V V ~\Ii:,/ • r I ,I !, Connection made in Street.Work completed 19 Am't.of Estimate $,_ Am't.Paid $_ Builder _ Remarks: Owner Address Sketch of Seroce Here • •