HomeMy WebLinkAboutSHERIDAN ST 12Kind oO?iJ,l~..
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.I.gcation
Size Size of Main
Date Amount Total Date Amount
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Labor
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DATE·----------e
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 $_
Builder _
Owner
Address
Sketch of Service Here
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V I 7
,
Connection made in Street.
Remarks:
Work completed _19