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I <br /> everett THEEVERGREEN 4974 <br /> CITY OF <br /> everett DATE /G� �- 7l <br /> cm wiu • EVFREII CITY OF EVEREIT � <br /> WASMINGiON 9!]01 <br /> INSPECTION REPORT <br /> I nspecting Department: <br /> ' / r <br /> Lia:nce Electrical " Weights& Meas. <br /> �����' Housing Engineering � <br /> [3uilding _ �P�umbin <br /> 9 <br /> Inspectors Signawre � ' <br /> Picmises Inspected:� �(�C�' �c> .� ��---�--� <br /> l ypr of Building or property � �4 � <br /> � <br /> Location or Address I � �'� � ,!� <br /> � �r c,c: -� �.c,C� c <br /> Items Inspected: � <br /> � <br /> Sr�� Cq _� .�,. C/r--rii-•- <br /> Items a .(+�>�:aring to need addiiional inspection: - <br /> �///� / <br /> ��~ <br /> �� ,in attendance on thc Premi;es, <br /> certify that the above inspection was made. <br /> Si�natur rt �� �� <br /> ---��------- <br /> Form No.4T4-001 .� <br /> � � <br /> ��✓F� x ' '. . <br /> 't <br />