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CITY Of EVERETT <br />� � 'INSPECTION DEPARTMENT <br />HOUSING CONSERVATION AND <br />BUILDING ABATEN�NT <br />1NVESTIG.4TI04 REPORT EORM <br />Part I <br />'q'7 � 1� `1 <br />Property AdBress �/ L J I� I�- R -S T <br />Occupaney_ S , I _ <br />No, of Housing Units � <br />No, of Stor <br />i'% j� <br />O�+ner's Name_ �� � /Jf}�/� 5 <br />Oxner'n Address ��% � ���d l iS ��l/ � <br />Ceosus Tract �� Block No. <br />Construction Type ��:�j/1'J — ComplaintJ Yes[�/ NoL/ <br />C <br />Basement: rull � Parcial_ Date �%- Time <br />Conerete Dirt Inspector(s)_ � o <br />Parc II (Complete this Sectton for Sub-standard buildings only.) <br />Housin¢ Unit Inform�tions <br />D.U./Apts. Vacent <br />H.K. Units Vacant � <br />H.K, Rooms Vacant <br />Cuest Rooma Vncant <br />"Unclass!'fiaDle" Vacant <br />Housing Units in Cellar L/Yes (�No <br />Buildin¢ Data: <br />Year Built Sixe of Bldg,_ <br />Occ�pancy indicated on most recent <br />Bldg. Dept. PermiC . <br />Permit Num6er W � <br />Preliminary Classification <br />1L/ 2[.� 3L/ 4L�./ <br />Final Class! Etca tlon <br />LL/ 2[_/ 3L/ 4L/ <br />Subsequen[ nc[ian: ;lone, <br />Legal Descrip[ioos <br />0 <br />Kroll� Major Minor • <br />Lot(s) ,S� �� +32 Block � <br />�' . ._-.f� �� � N��i�� <br />Plet S rtY7- <br />Volume Page <br />Parcel Descriptions � <br />Parcel is Zoned 1\ I <br />Dimensions oE Parcel �� '' : 2 p <br />Assessed Value: Land <br />Date Imp. <br />Appurtenant StrucWre: Type ��.✓� <br />Sizc x Conditioo <br />If pnrcel 'coniains more than one principal <br />building� list addresses of other such <br />buildings beloW; <br />flousing Code Ac[ion: � rlr�?} ��1.•.+�� <br />