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eVeP�� <br />THE EVERGREEN CITY OF ��� y`� <br />ee/E�'ett INSPECTION REPOP,T <br />CIT V HALL / FVERETT WASH.96201 DATE /�/� S// �� <br />Inspectinq Departmenl: Hausin9 Mechaniwl <br />Buildin9 __ Plum6ipg� `11 Sewer Gas Electrical _ <br />InspectoreSi9nalure �^ L--• <br />Namc oF owner or bu�ldr�� <br />Address al Uuilding / � V � ��� �"ci /Y �N � �LI n . / <br />L <br />Typc of Consvuction: Rvsidmnial __ Commcrc.al <br />Type ol inspection requcsted �C� ���� — � � <br />fieport or inspcaion <br />�01.14�—�� �� <br />DISPOSITION: <br />I WAS IN ATTC-NDANCE WHEN INSPEETION WAS �9ADE <br />