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Foam No.:1. <br />E'VERI' �TATEP eel', <br />1--JLU614fBER'S REPORT. <br />No. of Applicatign. ��iy <br />Owner of Bmidlog ..... <br />Name and No, of SS -?et or Avenue.4?fti <br />Block No....... f! 1. ..... Lot No .......4 ..���. <br />Bind of Buildit•. `............... .....3............ <br />g.................... <br />,/ r rat:.e/tr. �., ..... <br />Location of Stop Ono Waste ........ 5•.ff..: . (.. '^ C� <br />Turn on. �a Turn o....................{�.......... <br />.... <br />�_ - <br />Bat h ubs, Prlrnto.........�L1..( .......... Public. ....... <br />Water Closets, Privntr Tank......rJ:[.L...... Publle Tank ........ <br />Pan rr Plunger...`.:'.—Puklle Pan or Plunger...'(' <br />Urinals, 11rlvate Self -closing• •" ....... Public Self -closing ................. <br />11 Othrr than Self -closing, Private ...... .^ I..... Public....... .. <br />Wash Basins.......... .. ..................... <br />Hose Bibs, outside......- ......Insidr....., ....... ... .... <br />.1 for Building <br />Stable Bibs.......:. --." :............Plain Blbs.........i.:.... 1......... <br />.... <br />Plain Pnucrts......... .............Sidewalk Wambe s........... _............ <br />Sinks ........ :...(t�t'4.......... Laundry Tubs .... :..... ....... ............... <br />Barber Chu!m ......... ::......... I......... Iforscs... ... ......j I...... <br />IL I'. ISnilcrs.....':-.. . -.-...!............. Rooms.......... t.�,.......... . <br />Sprinkling Law" ...... <br />....... Sprinkling Street.......,.".' ..... .... <br />Signed.........ij)... <br />l .. ..... I li;q /�_ <br />Ins wcled.� .......K .lZ�. T'.. <br />Lr <br />. Inspector. <br />