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. .- _ _ �y , - -- <br /> � <br /> � <br /> � <br /> J <br /> � <br /> "� �verett THE EVERGREEfJ <br /> � <br /> p ci�vor <br /> �`i _ ;'� -�r <br /> ��� ever��,: � <br /> '/�',� Cltt HAq • EVENER CITY OF EVEIif �i I� <br /> WPSHING70N 90?01 <br /> iNSPFCfION REFOIi�f <br /> In;pecting Department <br /> LicenS� __ cL.:iric.il ___ l�lc�yitts 'c� fQu_i-;. . ___ <br /> f-ire Housing Engineering <br /> uoilding � Plwnbing / <br /> InspectorsSignature_ `� ��'�"r'i (.-�(J �//�--�r <br /> ��----------� � _ . <br /> -- 3 � <br /> Premises Inspected:/ ' �/�'�/�-�^--� Q <br /> IType of Buildin9 or property ��v✓' �Z1n-��J� , .. , <br />� Lucation or Address � Q l � �/� � �{'—_J'�, <br /> ' � ��/ <br />�� I'emslnspected: � , i7 ll„�1�� <br /> /riYC.;ui �i r <br />� Items appearing to need additional insp^c[ion: � �� �`�� ` <br />� L�fi�L�l-Q ���� ��i �s/t�fv�.yll- .�f�'�L�'q }. <br /> ��\�.' � -�<�� / ' <br /> - �i��.a` /�/-y-�->_,- <br /> �,� y-y�� � /�^ ���� 4� � '" <br /> ✓�� � `�, in Ttentlance on th� Pi�.�nii�.�:� <br /> certify that the above inspection was made. <br /> 1 <br /> i � <br /> �/ i <br /> i Signalu�e ✓i�L�`�G��Citi-.. �„ <br /> — � <br /> !-n�.. ,:.�. .:�.a nni . � <br />