HomeMy WebLinkAboutVAILLE AVE 24e-Nl:l,l1W
Address
Locatioll
Size
Servi.ee No•.27/.:£_
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Size of Main
Location
Date Material
Labor
Amount Total Date Amount
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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 Esti~ate$ _
Am't.Paid $_
Owner
Address
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Builder _
Sketch of Service Here
19
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