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Service No.~9¥?"
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Kind of Pipe Size Size of Main
Amount
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Location
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;21
130!n-'GjJ
Date I
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1 -I "Cl -~I1.i ",.-4A-o--,,{.7--'.3
3 68
2'!35
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Total
1
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"10 30 i
I=-08i
Amount
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2 ~~~ri::1.~76-'{
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1
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-cc-:Ilrgeable:
i"str.tai1 pcs~@ 38¢~3/4"Copner X 1 I.~~rb
3;4""cor.cock
I
No
•
•
DATE •'
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at 1:\0.2.0 7aY-tJ t;:"d--f---=St.and hereby agrees to
comply with the rules and l'egulations as now,or at any future time,€stablis ed by the Board of Selectmen.
Builder _
Am't.of Estimate $
Am't.Paid $
......,.-...._---Owner
Addl'ess (I'4Wd(k;fld~
c-&4'--
-
Sketeh of Service Here 1.-•=rTfh=H r~~I I I 'h-.--~..,.---rr
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Connection nlade in
Remal~k,;:
_____________Street.Work completed _19 •