HomeMy WebLinkAboutTEWKSBURY ST 7..------~-_._--------_._----_._._-- -
:Name
Kind of Pipe
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Size
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Size of Main
Date
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Material Amount Total Date Amount
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_._.._.
Labor ·······"'....····....*-_..··........·..···--T-·······it·_··..~_·..··
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r/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 $_
Builder _
Owner
Address
,
I
Sketch of Serv~ce Here eI...-I rIijII
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Connection made in Street.
Remarks:
Work ~ompleted _19