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
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U2
17 c:~
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212)
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Amount
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TotalAmount
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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
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Builder _
Sketch of Sen!ce Here
-----
Connection made in Street.
Rem.±rks;
Work completed _