HomeMy WebLinkAboutTEWKSBURY ST 2IJiPe-
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DATE---------~e
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 _
Sketch of Service Here-~,
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LlI"r\~rr.17 ::w J "."At"\:for"
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Connection made in Street.
Remarks:
Work completed _19