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HomeMy WebLinkAboutWARD ST 37iJ1i7.2R22 AmountDate_Total St., A.ffiount -~-------~---~ ,Kind ofPiJ)~ -----:----~-----I-NewService R~pau:~Renewa ._ MaterialDate m-'"~"--"~'._"" Labor ......~.._-----~-".--=------~,-~---,----.....--1--.,.--_...-...._- DATE -11TOWNOFLEXINGTON-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 Sketch of Service Here..-....-..-l I..~r ~ / ~=-I\. -.........,.~ .lI!~"""-X I-e;.~......., I ..II"............•",.J •';l ~-fI, J, Connection made in Street. Remarks: Work completed _19 J