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�E'. Ve!'ett rHE Ever,caeeN cirv oF � l� J U�J <br />everett INSPEC ION REPCiF;T <br />CITY HALL / EVEflETT WASH. 98201 DATE S Y ��" <br />Inspecting DeparlmenC �ousing Mechaniwl <br />Building_Plum6in �Sewer Gas Electrical_. <br />Namr o/ owner or 6 <br />'..,'dress of 6uilAiig <br />`,�pr of Consiru[tion: Resident�al <br />- „�c nf inspection requested _ <br />I;��no�t or inspection <br />InspectarsSignawre (.( LG�' _ <br />-�n .� �L _ <br />— <br />Commercial <br />:,,.cao�rr��,,.�.: .-------__ .__-------- <br />i�.. �..,it�_� i _,... . . , . .. ...� <br />