HomeMy WebLinkAboutMIDDLEBY RD 170 - 172Size of Main
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Size
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Louise,M.•
Kind of Pipe
Location
Date Material Amount Total Date Amount
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NON CHARGE
12 t 3/411 Copper tubing @ 42
1 3/4"C Adapter
1 1'1:x:3/4"2 part \lP.i n
1 1
11 Style 38 Repair C
1 111 ·x 6"C.L .Nippla ..
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(Repa.:i,r to service)'.._1.1.-Of-U;..........._.,
-1-62
1610
...2.4:1.
..28_.6.6..
$10:1.15
5 40
50
15
35
3 00
75
1430
1 80
11.55
....60
7114L:52_29t.1t9·L.Plpe~~g7
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'8"-1 c..-:3.;1..~L.~.q()up.@.25
1 "Br.Sp.Nlp.
1 ItL.L.Ell
1 &W
rueklng
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Address
Owner
Am't.Paid $_~_
Builder._
Am't.of Estimate $ _
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TOWN O~UE)(Ntotl~.O~RD,;
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The undersigned applies for a supply of water at NO'-:--_~~!:::::!:~~~~~:Z/:::.r:!L,-St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established the Board of Selectmen.
Sketch of Service Here
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Connection made in ~Street.
Remarks:
Work completed _19
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