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HomeMy WebLinkAboutGROVE ST 101Name Service No. Location 1 ,"-".•,-...L -~._'_ Kind of Pipe Size Size of Main Location j- ,.i ~ Amo-unt ~,,. "'"-.5.._ tc'Wk6( -..:::~t..'-, Date -., -:::.:,!it , 1 2C II 'l~'ot~''(/ I!J£-V.II I I1. ;- I ' 1_1"J ·c';~L Total -.:,:'-.~.',;': '.--- Amount ..;-~;_'.-:-~.f -,'_.-,...-, Material ~I-l trench dug by wner. .L _:C.'~-"...'r Date Labor !i I DAT'EE~_ TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS WATER DIVISION The undersigned applies for a supply of wateT at ~o.",""""..""," , , "..St.and hereby agrees to comply with the rules and regulations as now,or at any futUl'e time,established by the Board of Selectmen. Arn't of Estimate $"..'...,,,..,,,,..... Am't Paid $,,,.. Builder ,.. O"vnel',, ,, ,, ,' ,,,.",. Address,' '.. Sketch of Service Here Connection mad Remarks: I ;I.I I I•,-,;II itil7'" I I I rtf I I , i,\ I !i ' ~I I I,"'U \~-L.1,1'1 I ', !.r I !,~~.i rJ "7'i~"',r , R'r:;:;C , i,./ !I -Z v i l'"V rljf'. , ,19