HomeMy WebLinkAboutSUNNYKNOLL AVE 7 - 9Name
Address
Kind of Pipe
,\~
Service.:No.~l#.a ta
trJ..i<ti~Ji '7"'".0 ~'nn/-/-/7(')///111'4"Lve ,
Size Size of Main
Location
Date
Labor
Material Amount Total Date Amount
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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 Estimate $--
Am't.Paid $_
Owner
Address
Builder---------
19Workcompleted_
Sketch of Service Here_-.a .o1lII"~..
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IConnectionmadein Street.-------------
Remarks: