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.k <br />EVERETT WATER I <br />O.. <br />_ e. 40 <br />PLUA BJ3J2'S 1213PU12T. <br />No. of Appliention... <br />Owner of Building .41�.�/ g�� <br />Name anti No. of Street or Avcnao. J <br />111ockNo...ci!„JJ — ....... .,.,..Lot <br />....... <br />.' <br />Kind of 1jullding..t�.�/.ZU�!'i2�'..�af <br />Location of Slap and Waste... l......... , t.t!1 i1, .4+.eY,�{t,4.1. .�. ��'" •�' <br />Turn oft ................................ Turn off ........, ... ................ <br />Bath Tubs, Privates ...................... ..... Pul le................ <br />Water Closets, Private Tank... ,.... Y....� <br />Pau or 1'lunger....t.�.. Public 1'no or Plunger.. <br />,.. — <br />Urinals, Private Self.closing....... Pnblio1. Sclf-closing..:,. <br />Other than Self -closing, Privala ... ,..-.... --_ . ,1'ublie...�- . <br />Wnsh Basins... <br />.............. ...... <br />Hose Ribs, Outside....... ,i .G'. 1.i .'.;... ...... inside.. V.Lll& <br />" for Building., ..i.. C .. ..'.1,....... .. ............ <br />Stable Bibs ....... ..... ........,.... Plain Ilibs...:......... <br />Plain Pnueeix..— Sidew.ilk Washers .- <br />Siul:s...01 .., ...._. Laundry Tubs....r:- - <br />Barber Chairs_. ....... I IariiAs...'... <br />........ ..... <br />It. 1'. hollers..... . .... ................ Itonms. <br />Sprinkling Lawn.,...,__/_......_�.,.. Sprinkling Street.,...._......:.. <br />Signed...(..... ?� ... <br />�,.:... 4 <br />...... ✓. ....:.Z-. ',..(..inspector. <br />