HomeMy WebLinkAboutWALTHAM ST 520..---:=!~---~~-----------------
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Kind of Pipe Size Size of Main
Locatio!l
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Material Amount Total Date Amount
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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
,Sl tch of ~vice H.:~.........~..~I"\~,I.IlIIIIl II;....l I....oIIIl,-
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Connection made in Street.
Remarks:
Work completed _19