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Address
,.
~!Y:i.ce NO~.".H...z2~9 ....
-4J:IfJ t D
Size Size Qf Main
Location
......_._-.
/d D'/
I
(.~~
/0-~II
Date
:3 60
36.
,k rn
$9 80 ff
Total
1--.....
Amount
$€30
:E 75
75
2 20
1 40
Material
4 IHrs.Labor @.55
2"u @.70
~O%overhead
35'3/4"C.Pipe @.18
1 S &W..
Trucking
Date
Labor
1-----+-----1-------.----.-----------.-.--.__!-.--_-._.~>------.~.,--..----..-.---.--_.--.-----.---1--'-"
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_._-~--------~
DATE~~Jt-;0 11,,11
PUBLIC W~KSI..
TOWN OF LEXINGTON-BOARD OF
WATER DIVISION
The undersigned applies for a S~pplY 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.
Address
OwnerAm't.of Estimate $!().ft".
Am't.Paid $)().f2.-
£lAO -~~t:.Builder ~4 -/1':-ft"L)11L~
I
Sli tch gf Service Here --I ..-...LJ
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11 ~Ill""'"
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Connection made in Street.
Remarks:
Work completed _19