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everett THE EVERGREEN CI7"V OF AIQ �1 �1 � � C <br /> r� i � u <br /> everett �NS�T N PORT <br /> CITY HALL/EVER@TT WASH.9II701 DATE _ 7 <br /> / / � <br /> Inspectin9 Depanment: HQ(u�sin9 Mrcl1anic^I <br /> Puild'ng_ Plumbiqp�` Z�wle�_ Gas Elecirical__ <br /> Insp:clorSSignatureC� ! l � <br /> Namc af owner or�uild'ng <br /> Addressofbuildin�, � �h " L � <br /> -,��_' l" <br /> �.� <br /> T1•��'of Cansvuction' Hesidential Camm�rcial _ <br /> Type of inspeetion requcsled <br /> Repart or inspeelion <br /> - �� i/"l <br /> ✓ <br /> DISPO51TI0�: <br /> 1 lVl1S IN�1TTENDANC[P;HEN INSPECTION ll'AS M17�!)E <br /> ..t',.,.., <br />