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, -- - <br /> _. . _ � <br />� <br />� <br /> f <br />''� <br /> City of Everstt—Water Dept. <br /> 7URN ON ORGE�i �0 50380 <br /> TAP No._::'.:..'.�/✓-._........,:: <br /> ............................ <br /> ...._._.GLt:=._.%Z../_._.........................: ......_..lOfi.�= �' <br /> SuUject t� Y r •'gula�ru� a�n,d regulations, plcasc Wrn on lhe watcr <br /> � .._........................... Street <br /> �' ................................................................... <br /> ❑t ......................._.. <br /> Last tenant was......... ............................_..... O��ner or Agent is._.......................................... <br /> � � <br /> .... _/.............. <br /> Water rates will be aid bY.............._.................. .... , � <br /> ........... <br /> ..... <br /> P ... . �� „ �f" . <br /> ' . . .............. <br /> Signed..� ......c. ....._4. .....�..._. <br /> ....... . .... _ <br /> . .....' ------ <br /> ---- <br /> ------ <br /> �_----- � �i <br /> C9SHIER'S RECOHD Abo��e apPlication is app�oved � <br /> :- <br /> L- � _ , ��.f//.r____..... ! <br /> Remark s._.._......:..:........._..T:..... <br /> Ta'�No...__......Amount Duc 5............__... <br /> ...................................................................................... <br /> Tap No..........._Amount Due 5._................ Used water al............................Tap No.--........._.. <br /> %�� c._ ......._........................._._.............._.SuPerintondent <br /> ........................... <br /> .......Cashier . __ __. ., - <br /> ....................... ----- <br /> ------ <br /> � iSPECTOR'S RECO9RD <br /> Ins cted and turned on��h.....��.-Z.��.-196<:. <br /> �; . ...... . <br /> Classo[ Building.........................._.............................................................................................._.. <br /> .................................. <br /> .......__.. <br /> Location stop and wastc................................................................... <br /> R'ater closet, privalc or Public._.............................................Bath tubs, private or puUlic <br /> ____........._..........._._.....Urinals............................_..._...Outsidc hose bibs.................................. <br /> Piain biUs_........._.._. ..... Banc�r Chairs..............._...._ Horses..._....._....._. Co�as..........._._.... <br /> II. P.Boilers............._...._........... Rooms................................ Watcr nlotors...._...._._............._.. <br /> FircPluSs................................................ <br /> Cl�arSc Lor watcr begins on................................................19fi........ <br /> Rc m a dc s.._...................... <br /> ............................................................................... <br /> .................... <br /> �,�.Q.r�."..e.:::::::::........::::�::......... ......_._........................_._.............................. ... <br /> �.... ................................ ..... ................................_..._.......................... <br /> o............ <br /> .......................................................................................................................................... <br /> .............................................. ........... . . <br /> . ._ <br /> _ _ . ................................................. <br /> ................... <br /> .. <br /> ......Inspector <br /> ACCOUNTING Rate.... � '.........196.�:..... <br /> DEPARTMEN�: ..........................Entered......................_!.r.:.:..-..... <br /> Block................................ Lot..........._...................._..... Tap o..............................,.....;_,.__........ <br /> ..... .e .......................................................................... <br /> ...................................?......Cashicr <br /> •'c::_.. ...._..._... <br /> I <br /> J <br />