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HomeMy WebLinkAboutREED ST 5Location Size of MainSize Location •• Address Name. Kind of Pipe .Rep~ir--:ReIlewaJ--:~~w..Servic~ Date Material Adlount Total Date Amount )1 j I Labor ., ,.•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. Am't.of Estimate $ _ Am't.Paid $_ Owner Address Builder _ 19 Sketch of Service Here~~-,1.....IIl'...,I ...--L...-t:=lIIIo.i "IIIl~~ J ~...~ t 8 ....I,~,.,""IIIlIl lIIIo....;Ji " ~"IIIl , e in Street.Work completed .:-'"..~A-;. Connection mad Remarks: