HomeMy WebLinkAboutVALLEY RD 12Location
Size of,Main
Date
Service No.
TotalAmount
Road
Material
Lex1
Repair--o;Renewal-New Service
1 -Bo X ,&Rod ,~70
1 -.."0'"IItU.Tail Pieee 'l8
"1 -."Stl .1lZhtTail Piece '\8
,"'l1 -Al.
Labor .,.
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DATE -
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 .
..
/ketc,t;::Service Here
-"J--.
I~jf';-
I'.
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Ie ....1Ill..~I.t ~~
r.I!-ooo.'IlIl..~rt:1\-
r---...
Connection made in Street.
Remarks:
Work completed 19