HomeMy WebLinkAboutLEDGELAWN AVE 47Name
Address
Kind of Pipe
II t~'•
Location
Size
Service No./J6 t?'
#3970
~7 /~~e~W/7 4e.
Size of Main
Date
Repair Rene\Val-N~wService
~aterial
Labor
Amount Total Date
Location
Amount
DATE----------eTOWNOFLEXINGTON-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 $_
Owner
Address
.
d3··S·W~
¥7-#-~(}tAd..
Builder _
Sketch of Service Here
19
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IT (I ~
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e in -:f.L.nLcu..j.Ah~Street.~Work completedo'Connection mad
Remarks: