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� — _ _ _�- - . <br /> ever�� TN[ EVERGREEN <br /> C�.YOF � . <br /> EYeCell D�TE �_' -' ' - 7 � <br /> cnr H�u • EVEYEII CITYOF EV[Ri ; . <br /> WASNINGiON 98I01 <br /> I':�^-PFC71f�'d R: ;`�,�,1 . <br /> Irispecting Oepartmen: <br /> Llcense _ . c�.... �. .� ., , � � .. ' . <br /> Fire . Housing . �. . - .� <br /> 3uiiding _f� Plumbing __ , <br /> Inspecrors Signature ��1/�_�—��--�. <br /> , <br /> P�emises Inspected' C�vy�!'x� � �'�7 r�%" <br /> Type of Building or property ��-^-w. , . <br /> Location or AAdress 1 '� !j� 6�_ �_ <br /> �7 �/ <br /> I+emclnspected: �ct+�-��� p-t.� ��� ;"v::_4�c r <br /> ��v-�..� ? Gc/ ,�Z/ i�.t 7� ��"t� 'r ��c�o.P . <br /> hams apfmaring to need additional inspeaion: �� ���.,� �,y�yy <br /> �D�J'c..-n-v�.a. �. �<�C�c�r �..,- �/��` / ��, • <br /> / / <br /> / :I.-v Ttj ���-ry c>� �i.+-r /"-�-c�-✓� — „' ..y-t <br /> / <br /> ✓/� c-�."" 'G' '�.�_`'-�" 7-`���� ���r-/'�'s°-,�'-�„-w. . <br /> �.���"'•'�+s^^ • _ , in attendance on the Premises, <br /> certify that ihe above insprction was made. � <br /> n� <br /> i � <br /> / ^ � ` C1 <br /> , , ;� �-,.�___�, <br /> ��- <br /> � �n�Jo.474-001 _7 <br />