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eVEPe�� THE EVERGREEN <br /> CITY OF '> � / <br /> D2TE .�G � � �- <br /> �veret� <br /> � CIiY NAII • EVEPETT CITV" OF EVER[-i � <br /> WASNINGION ����� <br /> I I�l.l l,E`"i I 0 N �?L P:'.I'� '. <br /> — <br /> ------�---'--- .. . .. <br /> Inspectin9 Department: , � <br /> L/ CJalr.ht . .� �. <br /> Electric.i'�� � <br /> „ ansc <br /> " Ecqirn;:.,.�:,�.� <br /> __" / <br /> �.{c„�rcing --- " <br /> J/�I��n��hinq ----- /J <br /> � / <br /> [��.nldiny --- -� . <br /> �L�l� <br /> I���.�,r��ctors Signaturc. <br /> �uGL C�n_C'�-- -- <br /> -- <br /> _ / � <br /> __- .__._.. - <br /> . _ -- -- .. . _ . / /�,� ? 6'Io•1�, <br /> S �`V'�'t. G-C� � <br /> Prr.mises Inspectc:��. <br /> . � <br /> -�;P=ot Building or UroP'ny �Cs c.V ✓�-. <br /> Lo;::rtion or Addre�s ( (� ��_.. �. <br /> � � /L c� � c- j. �. <br /> �..�:�ia ln�,Pm.tod�. / <br /> � ` ..! �/ 1/� . <br /> L- ' 6! `G :i . . .. <br /> ib�.-��.s ,q�;�.�.�.n:nq ;u nr �.. :�idlti�;n i i <br /> j�'� ./ (_// <br /> i <br /> ���� i —...,�-.� ��',.. Prcnn' ��. <br /> I _ ��,�1� — .r --- , , <br /> � �c.ion ', , � �'�'- <br /> .....',ii�� Ihd[ - <br /> bn u 'I � • <br /> ;��i.,, ,� • /- �. - <br /> . <br /> /.-' <br />