HomeMy WebLinkAboutREVERE ST 21A~.__."'"..Name,ArnQ &:RyW
I Address Revere St.Pit~,/4/.4.~~J
10.01 Pipe
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Loeation Revere St.Pit
Size
Service No.
Location
.Dalo I~B Labou:al
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..~1J71 .It__~..J.1f C \.Ibrn-cocks @ h.h2 17 68
""~'~"V '1 -III C X 2 11 I 4 way branch 10 66
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h'...2 C.u.Pipe @.!.t.1:)1 80
Ii ...2ft T H Ga.te Va.lVA Q 12~
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Labor Truck!lSl 1 hr.@.7c;75~~--+--+-......;;.;.;;.....:..------t-----t--it----+----tr=-=--=.::='-=F'........=.t-==-.......-="'-"-o<------+------'~-
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DATI::.E --
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WAfER 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
Connection made in ,........Street.
Remarks:
Work completed 19