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THEEVERGREEN <br />CITY OF <br />�'��Cett <br />CIfY HAII • EVEREiT <br />WASHING70N 98701 <br />�UJC� <br />/ <br />DATE � � —� -- —� -- -- <br />CITY OF EVERCT-i- <br />I.'dSPECTION RGPORT <br />Inspecting Departmr,nt: <br />License _ Elr.ctrir,n� _ :'Light> �� D:ie-r. ___ <br />Fire Housing _ Engineerin9 <br />Building —.— Plumbin9 � <br />N � <br />Inspectors Signature ' � <br />. �Fr:�mises Inspected: ' � (� <br />/ t i <br />i <br />Typa of Building or properry <br />Lo;:ation or Address /"/ (/� � `'.. • . _ _ <br />� <br />I[ems Inspected:� /i ` l _/ �� �7-�� � ; <br />d ' "�u"��� <br />n ,c _ . .l.. . - <br />f <br />Items appearin9 ro need additional inspection: <br />�r o �-�-'`'�..`..'r - ./1S'-�� .0 �.- . : <br />'--�{ r_:_— <br />I�,}l.i'�.It�LL't'il�/�/�i �.S'� (r�._+..-�-1_�V <br />�• <br />I, __ , in attendance on the Premis���, <br />c�:nify that thc above inspection was made. .', � <br />� ��1 � � <br />, <br />Si�nntur1R�1�`� _ <br />Pn�in':o.»:1.1-001 _, <br />! <br />� <br />