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HomeMy WebLinkAboutPAUL REVERE RD 4Name Address Francis D.Magalette #4 Pay.l Revere Road Service No. Location 4 ¥aul Revere Road. Kind of Pipe Size "j Size of Main Repair-Renewal-New Service Location AmountDateTotalAmountMaterial No charge Owner 1 id pip • Labor Date • Owner Sketch of Service He.-ev Am't.Paid $Address Am't.of Estimate $----"-......,'......,"_f~_,' TOWN OF LEXI['4GTO~~ARDOF WATER DIVISION ~The undersigned applies for a supply of water at No.:--\-_~....",.,..L.L~~..J,L:;,a..!"""'~~_ comply with the rules and regulations as now,or at any future time,establis ~ -~ •• I'. "'lJIt ~\ "-..""... ~..,.'2.'I~, Connection made in Street. Remarks: Work completed _19