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everett �' ' � `' �' <br /> THEEVERGREEN <br /> GTY OF �1 <br /> everett DATE ,Q �'�" � , � / <br /> CI1YNAll • [v[am CRVOFF.J-H[1T <br /> W�SNINGtON 98]01 <br /> INSPECTION REPORT <br /> Inspectin9 Deu��riment: <br /> Lir.ense .�— Electrir.al /�/% Weiyh�s& Meas. . — <br /> Fire --- Housmg .__—__ Engineering ._._.—_ <br /> Building '-- un in� —__ . <br /> Inspecrors Siqraturc----. " �._ _-- {-��__--�-- ——------- <br /> � <br /> Premises Inspected: /�'�' �� <br /> Type o(Bwlding or property <br /> Loca[ion or AdAress �3 'Y_� ��4 :_..__ . <br /> Items Inspected: / (%b� „�,�,_ ��i� � T �'���_ II <br /> -�- ,�.�� _ -- -- -- - - <br /> Items appt ig�o need addi�ionnl ins{mction- <br /> �'_____ __ _ • in d��enJdni�c �n �he f'ir.mi�,es. <br /> certify that the above inspe���on was mnde. <br /> Siynalurc . .. <br /> i����,� r.�� a:n no� .v, <br />