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_ _ �� <br /> I <br /> I <br /> I <br /> i <br /> everetfi � � 1 � �I <br /> THEEVERGREEN <br /> CITY Of DATE � ," �l7/ <br /> everett -- � <br /> tm i+nu • E�EPEII CITY 0� EVERETT I <br /> WASHINGTON 98101 ' <br /> INSPECTION REPOHT <br /> Inspecting Department: � <br /> License Electrical Weights& Meas. <br /> Fire Housing Engineer� <br /> Building Plumbing ��/Z <br /> Inspectors Signalure �(�- � l� <br /> Premises Inspected: <br /> Typc o(Building or property <br /> � -7 <br /> LocationorAddiess ���� ,`y�,,., ,.,t_',-..; ..;,, <br /> Items Inspected: �� � �.t� 1 �i�� ._,�-...�,� '7'1 1 �:�i '�'.�' ., �'-�", - <br /> ;,�.:i�. <br /> Items appearing to need additional inspection: <br /> I, _ ,in attendance on the Premises, <br /> certify that the above inspection was made. <br /> Signature _, <br /> fonn tJo.4_'A-001 J <br />