HomeMy WebLinkAboutPARKER ST 47•Service No.2/76
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Kind of Pipe Size Size of Main
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Date
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Material Amount Total Date Amount
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TOWN OF LE;XINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby agree~s 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
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Connection made in Street.
Remarks:
Work completed _19