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Lexington,Masi.
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~9 Jackson Court
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Size Size of Main
Location
Date
._!1/28/~7
_11129l~.7...
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23 19 1 ~/do ft ~.C.Qr1).Cock 3 09......._
1 3/4"Cx~1!4"C.Curb-cock 3 68 1
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1 *"'O~f8E tTail Piece 30
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Labor
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 ..
Owner ~.
Address .
~..
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed 19