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Size
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Size of Main
DateTotalAmountMaterial
KiJHI of Pipe
Date
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1 -i"Straight Tail Piece 3&
1 t;'70
Labor
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TOWN OF L.EXING.TON -BOARD OF PUBL.IC WORKS
WATE__DIVISION
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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 .
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\Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed 19