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tySv , <br />evere!t THE EVERGREEN CITY OF <br />everett <br />CITY HALL / EVERETT WASH. 08201 <br />Impacting Oepartmint: Housing_ <br />Building __ _ Plumbing Sewer <br />/i n I <br />Inspectors Signature <br />Name of owner or building <br />22630 <br />INSPECTION REPORT <br />DATF 1 Q - >7I /%J <br />Gas <br />Address of building C' 2Q�i <br />Type of Construction: Residential Commercial <br />t <br />Type of Inspection requested _ <br />Report or inspection <br />DISPOSITION <br />I WAS IN ATTENDANCE WHEN INSPECTION WAS MADE <br />