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HomeMy WebLinkAboutGOULD RD 2Service No. Kind of Pipe Size Size of Main Amount /0000 ---i ........ .-'-- DATE,_ TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS WATEl DIVISION The undersigned applies for a supply of water at ::-<0 "",.,""".",","St.and hereby agrees tD 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 uf Service Here ±tJ± 'I ,ii"111 IT"TliLLUU l u;I --l..JITFT.,'':M -=n.:::r',1 'e-1111[,'.l'lt:> •I']1 "_'51 I i I ,I I_~~ . I ,I H'..I l-I ','"i,1 J ~~.,!-\ r-- \ I I d',I J H,).c I ,.c.I I ,r_I'.I--,L , ."I I L I +J 'I,I ,-,tI±LI::J-'I '11..LI--LLJji,'-_I ,-Iii f i 1-i 'U--l Connection made in ',""""".""",""'''''',Street. Remarks: Work completed """,19