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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 l~,"~~....~.Adclr~l$Mlddl e Street ~~~~~~L~e~x~l~n~g~t~o~n~,~·~M~a~s~s~.~~~~~ti~o=n~~Mld~'Street ........If.-...New Service Size ,-, ',/,'.~'-': Size of Main ~tiOl1 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 . .. Sketch of Service Here - •~:-4,~=;-J ~1/- <f'\..A'lt.': ~II ~ )~ Connection made in Street. Remarks: Work completed 19