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HomeMy WebLinkAboutMARRETT RD - BELCASTROr..N!!!!,e ..8-e/CdJ/~.#. I Address /'/drrtj-#~ \C~~~<t~J Kind of Pipe Location Size Service No.L..£~~. Size of Main ~epllir=~en~W"al-New Service.Location Date Material Amount Tot~l ,Date Amount ? Labor ci-----_..---.... ui.-.,.....~"--_."..".,..._- '"Ii: r-"e-~.-+-----t----'-_.....,..---'''--"- !-'~-----'-I----t-_.-..,._,-,.,---_.,.,--_.~ 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 ':;Ii ~1I)1l V h I V ~;r J j.if j 1\1"V I I'-I}A1.\ t j ') ~, f' ~"/ I""'"..."!::> , Connection made in Street. \,.'Remarks: Work completed _19 .~