HomeMy WebLinkAboutHARDING RD 64•Service No.229
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DATE tt
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undu'signed applies for a supply of water at Ko.St.and hereby agrees to
comply with the rules and l'egulations as now,or at any fu ture time,established by the Board of Selectmen.
Am't.of E"timate $~.
Am't,Paid $~~
Owner
Address
Buildel'_
Sketch of Service Here
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Conn~ction made in
Remarks:
_~~~~__~~~~~_Street..Work completeo 19
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