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HomeMy WebLinkAboutWACHUSETT DR 53Date AmountDate ~---;ja-.~:zt;j;;;~~£)LJ~e_<__.._..__~..._.__. Size of Main Total Size IAmount Kind of Pipe ,.__'-'~·-~'-"'·~··'··_':···_"·'····__··'·~C~·'·""­"-".-.,-<._-~~. .,,__.__,__.._:R~J1!li:t:.....RellewaJ:--:-New:Seryie.e Material r: ._-~-....f..· ... Labor -..--.,...'-...••.~"""~..-...... d -"'I ""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 Builder _ e J 19 s~~of Se~vice Here /,.~•,, ,a , ~....... l\•N II II ,loo. 'J e in Street."'7.,~~k compi;"tedConnectionmad Remarks: