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Loeation 43'Waltham StreetLexlngton.Mal"
Address 432 hitham Street
Size of Main
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Date Material Amoullt Total Date Autount II,(\,JLJd~A h.L
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M8JT ?~'h<:Labor --~>2h Ilt '21.t Ill'.-i(:t 00 "'I
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.1 ~J 11tt ~x ~Ih"'"CUl"'b-o.ock ":\ISC;-~...-J I 81'I If c...PPt'1t 1 B "X &Rod 1 IQ~-I 3/.x.Jtt 11•.",....,1 -i'Of feet Tail Piece 37
1 -i'Straimt Tail Piece ~7
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DATc.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 Estimate $.
+Am't Paid,$:..j
Owner .
Address .
Builder ...
Sketch of Service Here
Work completed 19
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