HomeMy WebLinkAboutFOREST ST 5~ame Allen C.Smith
AddressS FO/c:s-r s/-..
Kind of Pipe Size
Service No.17tJ
Size of 1'tlain
Repair-Renewal-New Service Location
Date Material Amount Total Date Amount
6/103/5
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Labor 50 144-
10%overhead 0
26'3/4"copper t ubin~5_~3~
1 3/4"cx~rom s·op &:wa s te
1 1"x 3/4-"bush ng
1 3/4"close nip Ie
1 3/4"2 part u.'1 on
1 hr.trucking @;75
Lahor
/-/j.5~
__+-_.//;/.7·>:·1"'1
55 48 I I
9 62 12-/3-,3 I
5 84 1~'I~f'COffer
59 /1%::C.o'"f Coe-I)
67 j,JiC.XI-l ......,.,C ..tb
1 2~I
74 19
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DATE ~
TOWN OF LEXINGTON-BOARD OF PUBLlC WORKS
WATER DIVISION
The undel'signed "pplics for a supply of water at No.St.and hel'€by agrees to
COll1ply "v,:ith the rules and l'egulations as nO'i.Yj or at any futm'-e time,established by th(:Board of Selectmen.
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_Street.
Am't.of Estinulte $,_
Am't.Paid S _
lJuildcr__-'-_
C:J-Il!lCctlon n1adc in _
Remarl·:s :
Owner
Address
Sketeh of S eTYi ce Hel"e
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WOl"k completed 19
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