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HomeMy WebLinkAboutHARDING RD 46..•Name Car::"L'1C:resen Address 4e 5c:.rciing Ho;..;,Q Service No.EO 101..00 Kind of Pipe Size Size of Main Rcpwr Renewal 1\r~11 ~J1 ice LlK:ation L'se .'r 4A•.LcO .i,...oec...Le·44 AmountDateTotalAmount " Labor Labor ).1ateriaIDate • • .-.~~-. DATE 41 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 regulations as now,or at any fu ture time,established by the Board of Selectmen. ____________Street. ,'\m't.of Estimate S _ Am·t.Paid £._ Buildu _ Connection made in. Ren1arks: Owner Address Sketch of Service Here t ~i- I -'I',.I I IT,".~,;z1l LH-.W-T~,.I~II I·II, I I I I I I I ~)':Z 9"':trn~ VI'ork completed .....:........----'-------IS • •