HomeMy WebLinkAboutSTETSON ST 5..
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Kind of Pipe
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Size Size of Main
Location
Date
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Material Amount Total Date Amount
Labor
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DATE---------.-,.,.1
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 /c.:£#e&d/Z elK
Builder _
19
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e in ..~~7~Street.2 ~41-""~Work completedConnectionmad
Remarks: