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..._ . �....,__ � i, <br />J <br />E'VE'1'P.t� nie evencne_racrrr or <br />eve�el� <br />CITV HALL / CVERETT W45H. 98201 <br />InrpectingDepanmenC Hnusin9_ <br />,� Buildin9 ___ Plumbing Z`[�_ Sewer <br />` <br />Inspectors Si9n�iurc <br />�!.:inc of owncr ar huilding _ <br />Address of buildin9 � : <br />Type of Consvuction: Re,idential <br />Type of inspeclion requested _L� <br />Repon or inspec[ion f± <br />��19P�7'IT'I)PI�. <br />_ qiH <br />INSPECTION I; �P01-: � <br />D A T E� � c _ i i I S l 2 _ <br />_ Mechanical <br />_Ga; Elecrtical_. <br />Commereial <br />. �_., i i �_..., �. .. .:� �.. �..� � ��.:- <br />