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evereri! THE EVERGREEN
<br /> CITY OF h
<br /> DATE �_ �-
<br /> everett
<br /> an Hau • EVE0.EiT CITY OF EVERETT
<br /> WASHINGiON 9070�
<br /> IfJSPFC I IOiJ REppli I-
<br /> I��s�,ecling Depann�^-nt�.
<br /> I_Ic:nm -- Hertrlc.�l __ !'Jrid�.i�;:� ��1��e;. _ -_
<br /> F'ur Housin9 .-- � nqln._r.iinq . --.
<br /> Plumbing t/ --�
<br /> Huilding � .—
<br /> ; �-`-
<br /> Ins.per.torsSignature � � �'�'�� - - -- -- �
<br /> I'n�mises Inspected: �
<br /> ���'...�..•.
<br /> 7ypc of Buildiag ar property
<br /> L� �.ation or Address � Q O L� - Sc¢�..�-�� �d�Lr .. , � _. ' .
<br /> Items Inspected: �Aw.,��•.c•.�-•�� - �-wJ���za�i. �.�l:'..�v ^'--. F_
<br /> n�",-,._����� t...:to a+�,,,'�oJ� too1.. S .— To�_(e�A C�o ma, .
<br /> .::�� � ��, �.:,...��
<br /> . ,.,�� ,2..�.Q..n-t. �1,a •Q ..� — . }. „ ,,,,
<br /> , \ Items appearin9 to need additional inspection: �0.�"��
<br /> �.�,�� �.�-�L4.,:.� �,-��u,,,._cL�..-,.4:tis�— .a51^y- �
<br /> �� ",�,,,,��_ ,,�`.4�' �..0 ... S<.
<br /> u� � , �..�-.-.��.-A_ ne.er_-tC„� a.�^-R- 'a�w�� � _
<br /> , .,.� �e,s,a.a-cL�—
<br /> z5 4- ���� ':
<br /> , in a�tendunr,e on thc P�, �,�u �
<br /> . .�tify that the a6ove inspection was inade. .
<br /> Yri,�zk C.o,+-.• 1'� � 3 ��'I - 1'�.� c�.5:_ t, �, , ._
<br /> � .,-��� /
<br /> — c«.-.���-._'��.-.� - SignaWre _ ___.--._ -
<br /> - � ��.,,.�_,.
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