HomeMy WebLinkAboutSTEVENS RD 11Location
Kind of Pipe~._-------------Size Size of Main
Location
Date
Labor
Material Amount Total Date
041s,Jo.L
b'o/-d6 £.,.¥f C¥~
Amount
---+--+1------------------~------------------t-----+
DATE _
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 Es~imate $ _
Am't.Paid $_
Owner
Address
~.;1..OJ~~'
II#.Q~·~t_·_
Builder _
Sketch of Service Here
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,
Connection made in Street.
Remarks:
Work completed _19