HomeMy WebLinkAboutWALTHAM ST 676Amount
Servic.e No·M ~Ir fb.7 ..
Location
Size of Main
DateTotal
Size
Amount
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Material
Name
Date
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connectl.on •..55
Labor
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AddressAm't.Paid $_
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DATE -7~).,.."·,".'>.3 ~.,.,.-
TOWN OF LEXING I\,,;-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No./"fr ::/t'.4:St.ar,td hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen.
Owner ()vvvu.~T...,...~.~.i,<:':~..t"I.<:....,','."V '..~·f,.,.;,'.~..·..../~.,...J.,I•...".•,.~..."..;_,)(J~..-~.Z:-~.}<'".-','•,-•\.""'tz,,'2./~&(:"'i2·-~--"""~'--J-+--J.-..=",::......-:;.;;:;.:=-...::..::....;:-'--'=--~
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Am't.of Estimate $._
Builder _
19
Sketch of Service Here
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Remarks: