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HomeMy WebLinkAboutSIMONDS RD 54Location Date Labor Material , r I .-~ 1, Amount Total Date AmlJunt -----_.~-+--+---- ---------------------- DATE----------:..·eTOWNOFLEXINGTON-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 ..~.~A-~. Address Jf..S Vvvvan..-0!.4 tR!.. Builder _ Sketch of Service Here 19 I~lilt 4lI..-..oIIl""j..J I-r-l IV "l1li,..I'P- • -1* 'II1II ""~If I.. --4 a~~~-I.. ·rr~,J ""I'I..; h-t-~f.t':-, ..,;VVV'\..~ck '.1..••(),.,'.J!l..e ~,,~<.,worKromp!eWd ~~. Connection mad Remarks: