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HomeMy WebLinkAboutMASS AVE 2117Date Kind of Pipe .Renewal-New ServiceRepwr- 1·,Ma.terial r;. I .N~J!le_ Address d!/J7 Amount Locatioll. Size Total Service No./?Cl..3 ·~//7 ~F.J:/fyc. Size of Main Location Date ,I Amount Lab~r -....----~~""~-~'.""',,--.----4----t-.--~--~~- ·....... DATE,--,------------e 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. Fi Am't.of Estimate $ _ Am't.Paid $~ Builder _ Owner Address Sketch of Service Here i··f\·l~~ Jl-IIJ.=n...-~~. I. ~"'h...,Lr ~Wi}I rJ 104.~.Jt-.ol I'... ,~IlIlo./'f}II ~ r-~I~ ~) ~r ~ ~.,.""'l .....-. ......J-A Y If\~~.,.,.-\.".....--, Connection made in Street. Remarks: 19