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<br /> Form I qBJ W,K. 5000 P. 3-2-OB � / �
<br /> / (
<br /> No, of A lication K
<br /> � 1 � PP �?...(O.l',,,.1/
<br /> - � EVERETT RAIIWAY, UGHT AND WATER CO3
<br /> PUCET SOUNU INTEANATIONAL RAIIWAY AND POWEA CO., LE3SEE
<br /> INSPECTOR'�T
<br /> �
<br /> Owner of Buildin ..—.�. L j/y/�ci
<br /> ... . ................ ..... ..�
<br /> . . . ..........
<br /> Agent .....................................................
<br /> ...... ............
<br /> ' T<nant .... ....
<br /> ............/..J........ ............ . ...............
<br /> No. ............� � r
<br /> � ....
<br /> .. .. ... ......... ............ Street
<br /> Block No............ ..... I.al No.... .. ..
<br /> �'.l,�c...... ..................... .
<br /> ....
<br /> Kind o(Building ,,,,,,,,,,,,,,,,,
<br /> .�. .... . .....f........ ...
<br /> ...
<br /> Localion of Stup and Wastc ...9 � `
<br /> ....... ... . . . .
<br /> . ..... . ....
<br /> Buih Tubs, Privale... ................. Public
<br /> ................................
<br /> Water Closels, Private Tank ............'ublic Tank.. .. ...
<br /> ..................
<br /> Watcr Closels, Privale Pan or Plungh .........Public Pan or Plun er
<br /> g ...........
<br /> Urinals, ?rlva�e Sei(-ciosing•••.......,.. Fu611c Sel(-closin
<br /> g ....................
<br /> Urinals, Oiher than Se14Closing, Pdvate.................. Public,..::....
<br /> .......
<br /> WnshBasins.................................... ..........
<br /> ..:.... � ....
<br /> Hose Bibs, Outside..... ....,.Inside � �
<br /> . ........ ............:.. .... ...
<br /> Stable Bibs .......... ............ ....Plain Bibs �
<br /> ........... ... .. ... � ;
<br /> Piain Faucets .....O�J.-(i�,,,,,,,,Sidewalk Washers....
<br /> .. . ........
<br /> .
<br /> Sinks................................. Laundry Tu6s.:........................
<br /> Barher Chairs ..........................Horses......
<br /> . ....... ....
<br /> . .........
<br /> H. P. Boflcrs ..........................Rooms..�
<br /> .. . . . ......... ...
<br /> SpdnklingLawn....................... SpdnklingS�reet
<br /> ......................
<br /> Fire Plugs ........................:...Meter ... ..... ..
<br /> / .....................
<br /> Inspected and Turneri'�n,....0'. ......... ,,, �q�7 Q
<br /> ...� ........
<br /> ChargcWaterRcntTo ...... . . ,,,�,,,
<br /> . . ......
<br /> Remarks: ........................ ...........................................
<br /> .................. ............... ..... . .. ,
<br /> . .... . ..�....... ...........
<br /> .. �.
<br /> ......�..... ....... � .�l',..Inspector.
<br /> `
<br /> "� "
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