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HomeMy WebLinkAboutGRASSLAND ST 21•Add~ss 21 jr~ssl~nJ 3~reG Service No. Locatic Kind of Pipe Size Size of l'tlain Com.11-6-50 Location :.c2 U2 17 c:~ -:>-Ii ".~.~.:/<~I~< :,I~"'-.I-)....- 212) ~11 ~ 1 i:;_-: Amount a~or TotalAmount "<~~y-- -L 1:_--'-;.i -...:>. "......,. ..../1 !t-_J/~~ )Iaterial 1 -1 /L "C X -~~t I l '.'j •L.3&:f',: Date • , • Labor DATE .• TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of water at Ko.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 Eotimate $ _Owner -'._...•._~_...~_.~~ Am't.Paid 3 _Address ~"-----'-----ri---,-i-1 i I I I i I !I I i..L.:--1--+-c---+,I , , r Builder _ Sketch of Sen!ce Here ----- Connection made in Street. Rem.±rks; Work completed _