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City of Everett —Water Dept. <br />TURN ON ORDER <br />// - N`_` 51901 � <br />TAP Not(!,-:Z. G <br />Sub' c to .................................19 <br />if to �ur regu rules an re;;Iat'i e turn the wgjgr <br />al.............`.........................._..__..........::..........._.�'%— ' <br />,.- ..... ........ .......... .....U.. ........ ... Streat <br />Last tenant was ..............._ ..................... ....... wn or Agent is ......... <br />_....... <br />R'alcr rates will be paid by..............._....f t-v.....^.............._... <br />e ............ .. �! <br />Sign <br />ed......%.......... <br />CASIIIEA'S RECORD Abave�pghcatjqn is ,approved i <br />Tap No.............Amount Due $ Remarks./.:.�....'`, .. .................... <br />A..• <br />............... .....`....... <br />Top No.............Amounl Due ............................................... <br />$................... Used water at. .... ....................... Tap No.................. <br />..........................................................Cashier . <br />Inspected and turned ory;Ad!.'.'_?.?/ 1,0 .}.199..f.... <br />Class of Building --- ..........._... _.......... <br />....................................... <br />Location stop and waste.. ......... <br />Water closet, private or public................................................Bath tubs, private or public <br />............ I.. ..... _................... Urinals ....................... ....... ....... Outside hose bibs................................ <br />Plain bibs ....................... Barber Chairs...................... Horses .._................... Caws............... <br />H. P. Boilers ................................ Rooms ................... ..._....,.... Water Motors........................ ............. <br />Fire Plugs ................... _.. <br />............................. <br />I/ <br />.................................... <br />•....Inspector <br />--- <br />DEPARTMENT Rate..... ....................... Entered ................ <br />......._.......(..�....1 j ........198 .�.. <br />IIlock................................ Lot................................ Tap No......................................... <br />................................................. <br />-/�✓.J.....Cashter <br />.............................. . <br />