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17 61 1-'lilt"C x '/h"C Curb-cock _~.~8e;
1 -Bp~&Rod 395
1 -ttl Ot1 s,et Tail Piece 31
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1 -i tl Straight Tail Piece 137
Labor
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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.
Arn'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