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JWIfXlIHXD--New Service
JUnd of Pipe
Date
:
MaT h.a t Ir;o
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Material
Mass.
Amount
Locatiojt 6'1.~a Road
Size
Total
Size of Main
Location
1 ..Bolr &Rod 3 70~---'--_+_-~+-~-------+---+--tt-,-...-.~.-_:+___.o;'__tt_=:.-..-..~.;::...::..:r:~_F_:::...;;:..---------+_--.L.,j;...!...:;--~,.frl 1 ..io"Bt!aig:bt '1'.11 Piece 38
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Labor
DATE""_
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.
AIn't of Estimate $.
Am't Paid $..
Builder :..
Owner ..
Address .
..
Sketch of Service Here
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-fConnectionmade'in ~...Street.
Remarks:
Work completed 19