HomeMy WebLinkAboutFOREST ST 10 - 12Amount
Location
Size of Main
DateIITotal
Service No.
/~71 £7/3
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Location (/a'J"-/2 r:"I fI /~~r~'d'.s C/r·
Size
Amount:"11aterial
Kind of Pipe
Name
Repair-Renewal-Xew Serviee
Date !
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Labor
•
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II
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The underRigned applies foe a supply of water at No.St.and hereby agrees to
compl)'with the rules and regulation,as now,or at any future time,edablished by the Board of Scleetmen.
DATE ..
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
Am't.of Estimate S__~
Am't.Paid S
Owner
Add"ess .SJ~~'.~"
Itenlarks:
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