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FORK SOU 8. � 1 <br />ERETT WATER rCO. <br />-4 <br />r <br />PLUAfBB 3S REPORT. <br />No. of Application... Y..Y...:. <br />Owner of Building.......... ...... !�.L. ....!!... ...�..... <br />Name and No. of Street air Avenue..., .....Q <........... <br />Block No....�;:v ...............Lot No ....`ri....................... <br />Mailof Building .................................... ........................... <br />�a•� Location a 9top And Waste.. ... .........�Vl-.......... .... <br />Turn ou ....ice../...... Turn air ...... I ...............'.......... <br />private— <br />Water Closets, Private Tank. ..Public Tank.- <br />" " 11 ]'an or Plungerr..,_,...Public Pan or <br />Urinals, I'rivnte Self-eloslug. .PtQdhe Self-closin <br />1. Other than Self -closing, Private. ......Public. - <br />wash <br />Ilnse Bibs, Outside .....................Inside.... _! <br />for Building <br />Nloblc 1116w _Plain Bibs <br />Plain <br />Sinks .. Laundry Tal.a v ..............,� <br />Baler Chat'*' Iforses. <br />It. I'. Bailers Homes. <br />Sprinkling Lair —Sprinkling Strgnt <br />Signed...`... ..\\ \�11uaber. <br />Inspected. ...... . O.fie-/..... 1Ra�j <br />.. r ... ...t!"-�... Iuspeetor. <br />r <br />