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Size Size of Main
Date Material Amount Total Date Amount
5064
28 60
80
3 04
12 20
2 00
3 00
r~A.J~.55¢:
tt @ fiO¢:
Ovhd.On labor
3!4"Copper @ 20¢
stop &;Waste
Trucking
56'
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Labor
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DATE /?vrL-;{l~,i~,I~--
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.do :Y'4uI/a:?-?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 $s r-~:----.
Am't.Paid $_
Builder _
Owner
Address
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed _19