HomeMy WebLinkAboutSPRING ST 128Dr.Tom.K.Richardsr:,Address
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Service No.90
Kind of Pipe
Location /2
Size Size of Main
Location
Date Ma'terial Amount Total Date Amount
5 65
19 05
85
25 55
3 B5
1 80
1 Ot]
1 r'](',v
'/5,,.00.LO
25
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.60
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Labor
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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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Connection made in Street.
Remarks:
Work completed _19
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