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22801 <br />THE EVERGREEN CITY OF <br />evcrctl everett INSPECT ON DEPORT <br />CITY HALL / EVEHE7T WASH.98201 DATE <br />InspectingDe artmenC Housing <br />Mocha a:al — <br />7 Gas n.�a"Cal_- <br />Building ` - % �� �'^` Sewer -- - <br />Inspectors Signature. — - <br />Name of owner or building 01 <br />Address of building <br />C mcrcrd <br />Typeof Construction: Residential _ <br />Type of inspection requested <br />Report or inspection <br />DISPOSITION,------------- -- <br />- I WAS IN ATTENDANCE WHEN INSPECTION WAS MADE <br />