HomeMy WebLinkAboutTHERESA AVE 17Address /J
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Service No•.2'~2/.
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Kind of Pi.pe Size Sw:e of Main
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Date
Labor
Material ..Amount Total Date
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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 $ _
Arn't.Paid $_
Owner
Address
Builder _
Sketch of Service Here
1111
•Ie
Connection made in ~rJ~~~'~~~~'r!!!!.J11-'--_'--Stree~
Remarks:'
Work completed _19