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Form 179dw. Ra. IOOOP-J-9-07 • No.-of APPIIc9tlon..� �.. �. • <br />^ EVEREn RIIIIWIIII, LI6NT AND WATER C0. .�.� <br />_ '/�,�,�.�`''c�`...�✓ —��� ja.,� . <br />i r ,q,�s <br />— --- <br />_., <br />�� ;•i � ;� t,H�.r .. <br />.• _ .................................... . <br />Owner of Building...' .:.............. <br />. <br />. <br />pgent......................... .................................. <br />Tenant ........i ... .. ........I........................ ................Street <br />. � .. <br />No.... � tQ/.'a:. ..�.�`�..A,i74LL .....................,�. <br />/n . <br />/ �� .........Lot No...�-. <br />J... ��.Z� ............: .. <br />BIocY. No.....1.( ,��....� •. . <br />` . .... <br />Kind ot Building........�;.1;7�,....�+�' /.................... <br />, ... <br />Bath Tubs, Privalc......ste..'............• ....•. .i <br />L�++'ot-.S�°F�nd-W a <br />�� . . . i� !�'I : . . . . . . . . . . . . . . . . . . <br />Puhlic ............. ..... .. <br />Water Closcts. Pivate Tank .............. Public Tank .................... <br />Watcr Gloscts. Privalc Pan or Plunger...........Publin Pan or Plungcr......ty� <br />Urinals. Privale Selt-closing .............. <br />Publlc Sel(-closing ..... ............ .... <br />Urinals. Other than Selfclosing. Pr!vate ..................Pu �c........ . <br />........ <br />VJashBasins ......... ....................................................... <br />Hosc Bibs, Oulside ......................inside ......... <br />.................... <br />... <br />SIa61e Bibs ...................... . <br />.:..Plain Bibs ......... ................... <br />Plain Faucets ..........................Sidewa!k Was !rs..... . <br />.. ............ <br />Sinks ..................................Laundry u s........... . <br />............ <br />� Horses .... ........................... <br />Bsrber Chalrs ... ...................... � <br />Rooms ...�.� "" <br />H. F'. Bollers ... ....................... <br />...................... <br />Sprinkling Lawn ........................5prinkling Slreet....................... <br />Firc Plugs ...... • <br />.....................Meter ............................... <br />Inspected and Turned On /� .� �/•��� • /� • •p,'� [/�,�,,�� <br />.......... .............190... <br />Charge Water Rent To....W...........U..n"'•�nl[!.� :.......................... <br />Remarks ....................... <br />........ .................................... <br />......................... . <br />..... ............... .................... <br />.....�j..... ��'A' �"..........Inspeclor. <br />. C[h� >. <br />�%��'J � <br />