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Form ,a. IJ. <br />EVERETT WATER tCO. <br />' j PLUMBER'S REPORT <br />No. of Application <br />Owner of Building..... ... f!!""^'................. ............ <br />Agent..... ... Q(,A. ............. ..... .... .... ....... <br />Tenant..... ................... . ... .... <br />......... <br />No.' <br />...... ...... X�y . �.�.R..S .. !!.Y!,,. ..... ............ Street <br />ISlocit \o."..... ...Y.� ........ Lot �No...� n...... ..--- ......... <br />Kind of Building .... ..../r!�ag4�t<a.P..... L� ............ <br />Location of Stop and Waste" ... <br />Batik Tubs, Private .... ...... 'nl,lie ... .................. .. <br />Water Closetp, Private Tank.., (l!Y.ti.,. Public Tank ................ ... <br />Water Closets, Private Pan or Plunger...... Public Pan or Plunger. <br />... <br />Urinals. Private Self-closing....7:T. ..... Pnblie Self -eloping.......... <br />Urinals, Other titan Self -closing, Private ... .'....... .....Public.. <br />Waall Basins ... . .... ......... ....................... ... ...... <br />Hose Itibs, Outside. .... ....r.. ..... Inside ...O��li:�.. <br />Stable Ililm.................. ... Plain Bibs.....`........ i.......... <br />Plain Faucets ..............':'"....... Sidewalk Washers. ........ <br />Sinks... .....b�".. ... .. . .... Lalindr)' Tubs ..:'-....Q .... ....... <br />Iiarlter Chairs .... ........: ....... .. I[uraes ..::..., <br />Ballem ................ ......... Booms.... .... ....... .... <br />Sprinkling lmwn............."fin... Sprinkling Street ............... <br />QQ �Signe<itj....` . i ,. i I , _1.. <br />Inspected ..�jCr..�...�..�..IW.9_ <br />Bcutarks: ..... .�,4�✓.V1a..LCt <br />............ ..... ..... p ..... ....... <br />Charge Water Ilent lu....:., �.J... .j.�.l ��.'.�„/s�.�............ ... ...... <br />