HomeMy WebLinkAboutMIDDLE ST 54_·...,.Nam....._llI!'-e_A:I.....t:~r:.ce~d_F~aifll,;r~llo-"'n.......o....J.....1 .--!S=e~rvi~c.t.No..511 .#~SO
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........If.-...New Service
Size
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Size of Main
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Date Material Amount Total Date AmOll11t
DATE"".-..-._
TOWN OF LEXINGTON -BOARD OF PUeUC 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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Connection made in Street.
Remarks:
Work completed 19