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Littlefield ShOVEl 1 hr@ .•OP_lr9.0.~-3L~~S._-qQrP.~Mk..._-----c-_..,~-~'1~i
_____+---+"T""'-'P~'u9,lcinlZ 1 hr.8 7t;7~1 -':\/~"_.<x ,:\/k"C Curb-cock ':\8;:
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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.
Arn't of Estimate $.
Am't Paid $..
Builder .
Owner ..
Address ..
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Sket~)of S~ce Here
-•~1-'II'"LIo-:.h \1\I
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Connection made in Street.
Remarks:
Work completed 19