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everert <br />THE EVl��GREEN <br />�ITY OF <br />ever:�t� <br />��n. qp�� • E`1EREi1 <br />WASHING70N 9P'!01 <br />! nst��cting DeP�+runenc <br />License <br />� ��.• <br />Guilding <br />Inspectors Si9naturc — <br />� <br />DATE _ _�: —/ .. <br />CISY OF EVEREI � <br />�nJci�l=C71C)''1 ft[PllHl <br />Electrical - " � <br />E��yinecnn9 <br />Nousing <br />X <br />Plumbin9 <br />� i��v �� <br />,,,.,,����s�nsi����,� . <br />i �. rvz ui BuilJim.,,., ;��"�.�"�, � <br />Z,��"" � <br />I,,, ,rtion or Addrcss _ <br />� ected: a�ai.� C�•�• — <br />�,,,��,s Insp 1.� r• <br />l <br />/ 1'q , <br />r, -r `�_— — <br />I•:, s aP�,�r����� �� i�a.d additional inspection: <br />� � I i <br />`i, <br />i� ��A.��� �� � <br />,, °`� � <br />, in alienJdnce on th�� P�rm��.�� , <br />1. — <br />„n utv that the above inspection was made. <br />� � .,n s,J — f___ <br />� � Si9nawre�_.� <br />. � . �, � ,.., a.a om . _ <br />