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everett 662-1 <br /> THEEVERGREEN <br /> GTY OF J <br /> everett DATE 'F�( Z�_IT L_ <br /> atr Hau • EVERETi CITY OF EVERETT <br /> WASNINGTON 98201 <br /> INSPECTION REPORT <br /> In�.pecting Department: <br /> t.lcense Electrical Weights& Meas. <br /> f�uc Housing Engineering <br /> L'uilding Plumbing � � <br /> In���=_ctorsSignature �`—`^'� ��"�+ _ <br /> P�emises Inspected: <br /> l`�;pc ot Buildin�or property S . �'� ����`.--�-�-�+-� G <br /> � <br /> Lucation or Address �,a 3,�. (�(Z'JAI�',hJ{\'/ _ <br /> Itcnisln•:pt:e.ted.,__�:.!lC ubl� �� 1"Lv�i"tt-� — V.�� � <br /> PL{Ch�'_( 'I�. ��'J4 � <br /> Innns appearing to need additional inspection: <br /> � ,in attendance on the Premises, <br /> certity that the above inspection was made. <br /> Signature <br /> V � ,�.,,, _.�. .:�,-oo� :'�J <br /> f.&'�' ..��g � , ,.,.� wy <br />