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HomeMy WebLinkAboutVINE ST 17 19Kind of Pipe Location Size Service No..2 l'.2?. Size of Main Location Date Mat~rial Amount Total Date Amount Labor ... 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 Sketch of Service Here I ..t ~I~ I II 1~r r-J• ~..4 !II..,-~j , S ~,~r\- I-~JI'•, Connection made in Street. Remarks: Work completed _19