HomeMy WebLinkAboutSIMONDS RD 95Name
Address
..~C:stan~y~_~........11ff
~-~.S.1.Iil.oRda .&:Blake..Roads ...q S-6'''\f\~6~d LQqtiol1
Service No.#2.tiP?'
~~l~..
}\:ind of Pipe Size Size of Main
~New Service Location
Date Material Amount Total Date Amount
11 56
3:)
76
75
75
hrs.labor @ 55~
3 ,3/4"Copper @16¢'
s.&:w.
Trucking
c.il:L...
Labor
DATE ~.2~0We
PUBLIC WORKSTOWNOFLEXINGTON-BOARD OF
;<4/
K/3 lJID¥~~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.
Address
Owner
Am't.Paid $_
Am't.of Estimate $//1 7'0r
Builder (
Sket~of Servic~ere eI~.~
I I"~-IllII,II
I '"l1li'
I
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I ~I.JI'
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It ...,
Connection made in Street.
Remarks:
Work completed _19