HomeMy WebLinkAboutREED ST 23Name
Address
LocatiQIt
Service No.%3.otf:.
/83(,
Date
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Kind Qf Pipe
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Material A~ount
Size
Total Date
Size of Main
Location
Amount
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Labor "I
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DATE----------eTOWNOFLEXINGTON-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
Sketch of Service Here,r'\;-...l-~"..--•"-'....1IIlI t:::e::-1
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Connection made in ---B.•~ot..
Remarks:
Street.~-t:..Work cOmpleted _19
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