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m 6004 <br /> "PV�ett THEEVERGREEN <br /> CITY OF <br /> everett DATE ,��� r�` ��- <br /> prr�uu • EVE�ETT CITY OF EVERETT <br /> WRSHINGTON 0l101 <br /> INSPECTION REPORT <br /> Inspecting Deparvnent: <br /> License Electriwl Weights&M¢a� <br /> Fire Housing Engineering <br /> li I ?�`(� <br /> i]uilding Plumbing <br /> ':,spectors Signature � `/�`�"�����- <br /> . ---��417��.�'Z� .. . . <br /> � � .s-[�/ <br /> �/_rc.-ry �- �� � <br /> Premises Inspected: � <br /> i ypc of Building or property 01-��-��� �Y�� <br /> Location or Address � h Q1� ��,�+' G. .. <br /> o A [�� <br /> � Items Inspected�. - " �Z,�.� G�, - (D <br /> � �/' �� � <br /> -- � -�-� � � k C��.,..� �.�.,-�--- <br /> Items appe� ny to necd additional inspection: <br /> f�i.-"t? -' � � �cra„u9 �L.. �-7� � /� v i�� {� �t i '�tC/ <br /> C <br /> �"1 � '7 � S? -G�� � 4i ��< <-'t.r�. <br /> /J`."�C:ti1� C..� ,��t' /,yc�. L{ Icr � c�:;f;; , <br /> � __ ,in attertdance on thc Premi����.��. <br /> ��.li{y that the above inspection�vas inade. ! �j` � �7'�r�' /� '� <br /> // /1"`"/�.�C� �Y � � ,� S - � /�""'`�`. .. <br /> V � � /J� J,/ �p ..��,�/- <br /> Signature_�'"'�L'!/).r/'"�-/''✓' <br /> Fo�m No.4:4- .01' 1 :�' <br /> °'C�.;ri,'� + , <br />