HomeMy WebLinkAboutWESTVIEW ST 85~e Nioholes DeFe11ce
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Kind of Pipe Size Size of Main
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Date Material Amount Total
.]-•.,0....·TB.11 P1&0811
,TruckIh.a 1 hr @.7~.7~
Labor
I
I DAT...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 $.
Builder ..
Owner .
Address .
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Sketch of Service Here
Connection made in :Street.
Remarks:
Work completed 19