HomeMy WebLinkAboutRANGEWAY RD 27Service No.22
Lex1nston,la•••-LOcation
Amount'MaterialDate
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Amount Total Date
1 ";'BOk &:lRod 1 170
1 ••-Ot1 set 'Tail Piece i ':\8
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.
1
1
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