HomeMy WebLinkAboutGRAPEVINE AVE 34•Name
Address
Service No./dtf'f;>
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Kind of Pipe
Repair-Renewal-Xew Senice
Size Size of Main
Location
Date.Mate-rial Amount Total
II Date
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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 regnlations as now,or at any future time,established by the Board of Selectmen.
Sketch of Seniee Here
Am't.of Estimate $_
Am't.Paid $_
Builder _
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Owner
Address
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Connc'ction made in 1~Q.1'1(V...<A..v<..,st.reet.~Work complet.ed _
Ren13rks:a 19 •