HomeMy WebLinkAboutWOODCLIFFE RD 27F!.....~)
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Lexington.Mase-.Location 2!7 Woodeliffe Road,----';;;;..;...;::.:.::..::=-~..:..-.!~----:;---,---_.=.::=~=----,-------'----------
Kind 01'Pipe...i.....New Serviee
Si~e Size of Main
Location
Date Material Amount Total Date AmoUDt
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Labor
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76 '
26 HI
:
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 $..
Am't Paid $..
Builder ..
Owner .
Address .
Sketeh of Service Here
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Connection made in Street.
Remarks:
Work completed 19