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Service No.8$8-3
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Locatinn 10 -H:l:Il~!-de 'ReM:11:0 ...
Kind of Pipe
~NewSer,ice
Size Size of Main
Location
Amount
<50100-4-
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3 2
3 0
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4 .E,
0
0
5
28
DATE_·-,-__
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 future time,established by the Board of Selectmen.
Am't of Estimate $..
Am't Paid $.
Builder ,,..
Owuer , ' ,..
Address ',,;,.
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Sketch of Service He~
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Connection made in ,Street,
Remarks:
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Work completed "19