HomeMy WebLinkAboutFOREST ST 59•Name
Address
~:ar jorie ?ierce
5S:::Fore-st c+u ......,LexiEa:t0TI
Location Same
Service N0;"8'6 77/
Kind of Pipe
~Y~~NewSenice
Size Size of lI'Iai n
Location
Date
•
•
Mat-eriaI
:5 hrs.labor @ 60¢',
42 3/4tt C.Pipe @ ~7¢'
1 stop &Waste I
Trucking
Labor
Amonnt ',I
"r180!
7,14 ,i
2 '00 I:
j
2 00 I
j
I'I
"
I
I
Tota.l
94
!i
IIj
iiil
I
Amount
~"
TOWN OF LEXINGTON -BOARD OF
WATER DIVISION
,1
DATE ~-J""'A<1'i''{,I)''3<•
PUBLIC WORKS
The undersigned applies for a supply of water at :-;roo £7 &.,.,~ft St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Bo"rd of Selectmen.
··~.):J1.
2J2:;lh~1J.~.-fL."?r.e
L •
Address
Owner
Am't.Paid S _
,0'Am't.of Estlmate $)."J-~
t
Bl,Iilder _
Sketch of Service Here
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Connection made in _
Rcnlark3:
_Street.Work completed