HomeMy WebLinkAboutFOREST ST 46Name S.'>-:1ile S aul:.'"'~:er
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Locatic
Service No.218
..
Kind of Pipe Size Size of Main
Material
Com.11-6-S0iKqpajt~war..;....NewSen-ice
Date !Amo-unt Total Date
Location
Amnunt
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2
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'1 'S.'
1 ~
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3
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1:,
'1
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1 :3 D ,I
'13 ::
12 lJ
17
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x h_rt
Labor
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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.
Am't.of Estimate $_Owner
Am't.Paid $_Address
Builder _
Sketch of Senice Here
Connection made in ._
Remarks:
Work completed ._19 •