HomeMy WebLinkAboutVINE ST 59Address
~rvice No.2'7.3'?
Location J7'.~n e dJI,t:f 11./.
Kind of Pipe Size Size of Main
Location
Date
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Labor
Material Amollnt Total Date Amount
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DATE----------eTOWNOFLEXINGTON-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 $_Owner
Am't.Paid $_Address S't.~8-1::.
BOldUler
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Connection made in Street.Work completed 19
Remarks: