HomeMy WebLinkAboutFOLLEN RD 33•Name Service No.rrr
q:Fraq
Date
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•
Kind of Pipe
Repair-Renewal-New Senice
)-Iatenal
Labor
Amount i\
"
Size
Total I'
"Date
Size of Main
Location
Amount
s:
DATE ..
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The under~igned applies fOl'a suppl,..of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at an,..futllre time,established by the Board of Selectmen,
Am't.of Edimate $_~~~~_Ovmer &rba•
Am't.Paid $ _Address .3,3 Ed //en ii?.../
Ellilder_~_~~~~~~_
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~ketch of Service HI e •, I I I;'ri i-l I '!'-I'I ."I !1_,~'~Jj",'l ".'"I"'I 'J I 'I I "!,_'
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Connection made in Street.
Renlarks:
'i'lOl"k completed _19 •