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THE EVERGREEN CITY OF <br />`'v`retl everett <br />CITY 14ALL / F. VERLTT WASH, 08201 <br />Inspecting Department Hoouussiing_ <br />ti,t.eBuilding Plumbi� Sewer <br />i <br />Inspectors Signature <br />Name of owner or building _ <br />Address of building <br />TYPO of Constructions Rcni <br />Type of inspection requested <br />Report or inspectinn _ <br />DISPOSIIT10 <br />23792 <br />INSPECTION REPORT <br />DATE- <br />1de n, deal / <br />_Gas _ Elacbical _ <br />I WAS IN ATTENDANCE WHEN INSPECTION WAS MAIA <br />