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THE EVERGfiEEN CITV OF 2 4 2 9 3 <br /> • E'VLr�tt everett �-� �NSPECT/ION REPORT <br /> cirv i�n��� �veRrrr wns�+.ou2oi DATE �f/ <br /> �. � <br /> I�spcctin, Drpartm�unt' Housin9 Mechakcal <br /> 6uildi��iVurnbin $ Gas' Elecitieal_'_ <br /> Insi%eCtoisSi9nalurc C�l-��� — <br /> ;�.�rne af u�.vneror buildng � i.i9�11/�'� .- <br /> ,�Jdress of buildin��,J U� �—� � � _ _ <br /> �1 P�OI CO�15lfUCli00: Re..,idonii:d _Cannncr[i.�l � ._. <br /> — . <br /> i�;nc of in5(lection fCqucslcd _. _' _' - . <br /> ,��port or inspeCtion ______ __, _ . <br /> I WAS IN A7'TEN�ANCE WHEN I!JSPECTION WAS F.�,� . . <br /> 4 <br />