HomeMy WebLinkAboutNORTH ST 48'''-'"
Loeation;..\.',[
Service No.
1l1nd tJ Pine
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Date Material Amount
Size
Total Date
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Size of Main
Loeation
Amount
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.
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
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