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THE EVERGREEN CITY OF 20092 <br />('V('I'('ii everett INSPECTION /REPORT <br />CITY HALL F.VERL TT WASH. 99201 DATE.—r�•�� <br />Inspecting Deportment Housing Mechanical <br />Building __ plumb i Sewer Gas F acVlic' I Y�7 <br />Inspectors Signature V, i ((�� ! <br />Name of ownor or building LL I C� j dQ. fLi��cc&/P - <br />Address of building Ke3 <br />Type of Construction: Residential Commercial 1 r <br />Type of Inspection requested _JQA;�4_L, <br />Report or inspection <br />DISPOSITION. <br />I WAS IN ATTENDANCE WHEN INSPECTION WAS MADE <br />-- <br />