HomeMy WebLinkAboutWOODCLIFFE RD 22Servtee No.'il
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Labor 31 liS)
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DATE ........_
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 ...
Sketch of Service Here......~-~~~
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Connection made in Street.
Remarks:
Work completed 19