HomeMy WebLinkAboutLOWELL ST 48#8~we//cPl
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Kind of Pi"
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Material
Labor
Amount
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Size
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Date
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Service No./4L6/"
Location
Amount
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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
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Sketch of Service Here
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Remarks: