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Form No. IS. t 4', r . <br />EVERETT WATER- CO. <br />PLUMBER'S OR1' <br />No. of Appllcation • z j, t f <br />Owner of Building...... .. <br />. ...... ......... <br />Agent .. ... ......... ...... .... <br />No. ..... <br />Block No................0 ....... ........... Street <br />..... ...... iut Kindf Na....... <br />oBuilding . _ "" <br />l.ncntion of Slop and R'neto ! G ' .�.../.�....... ......... <br />Italia Tubs, Priunto ` '"G" <br />... ... ..... . <br />1l'nter Cloeete• Private Tank.........., public Tank .. <br />Water Closet,, l'rirate Pan or Plunger..... ....I ublic ..... .. Pull or 1'+, ............ <br />Urinate. 'rivals Self- unger.... ... <br />closing .............. Public Self -closing..... <br />Urinals, Otber titan Self•closing, Private........ . •. • <br />Wash fission ... . ... <br />........ public.. <br />........... <br />Hose Bibs, Onleid.. - <br />... ... ... .. <br />..... Inside .... <br />Stable Ili bs.............. .. ..... ... ... .. <br />Plain lii i+e................•, <br />I'laht Fanccla ' <br />Sinks ... .. <br />.............. ......... Sidea'nik Waebcrs ... ... ....... ..... . . <br />.......... <br />".. .— Lanndrr 'pule ... <br />ISarl,er Chnire.... ........... ... <br />Iloreee .. <br />H. P. Boilers <br />Sprinkling Imren ................. ... Sprinkling Street . ... <br />.............. . <br />Signed .Ci., t+4 • 7r�..�r.v-e.�+b�f.. <br />� j .I'Inm bcr. <br />Inspected ./. Gyy�1��7/. 7.. �f.. .. ......190..%� 1 <br />............ ........... <br />Charge Water lteut to... ' <br />�� �....... Inspector. <br />