HomeMy WebLinkAboutWOOD ST 139r.::..;z~~.~...I ~....~~/'~
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r Kind of Pipe Size
Service No.
Size of Main
Location
CPt 3~.3 9
-#-5",'17
Date Material Amount Total Date Amount
2."j #-/II Col;>/?"-
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Labor
-_._~---_._-----_._-~-_..~-.:~
DATE----------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 $ _Owner
Am't.Paid $_Address
Builder _
e
J
19
Sketch o~SeI.iceJ ire,~~-
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e in treet.Work completed
~v r.
Connection mad
Remllrks: