HomeMy WebLinkAboutSHERMAN ST 29Na!Ue..
Address
Kind of Pipe
.~..~e.p!J.ir-Renewal~N ew Service
Location
Size.
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Size of Main
Location
Date
Labor
AUlOunt Total Date Amount
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 $_
Owner
Address
Builder _
Sketch of Service Here
19
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Remarks: