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8 7_ 3 ' `,�' <br /> everett THE EVERGREEPi <br /> CITY OF <br /> everett DATE Z-zs - � �__ <br /> C11Y HALL • FVERETT ��7Y OF EVERETT � II <br /> wRSNINCION 9l2DI �, <br /> INSPECTION REPORT I <br /> Inspecting Department: <br /> License [Iectrical _ Weights& Meas. _. � <br /> Fire Nousing � Enyinceiing <br /> � --- <br /> Building wnbin <br /> Inspectors$Ignature .� ��i'�.--J/1,�4,4E�:fx-�%��.'-- <br /> C.. <br /> — - — -----�- � <br /> Premises Inspected: /�/J� <br /> U C� � ' <br /> Type ot Building or property �"-� -�/� (�� <br /> Location or Address 7 � <br /> — ------ -������, U�ZI — ,2 � <br /> Itcros Ir�sp��ct���TiC� T�i ; <br /> G1:�cE;"�o cJ <br /> ite:ns appcaring to need additional i . etion: � <br /> �. ,in attendance on the Premises, <br /> certify tl�at tlie above inspection was made. <br /> Signature <br /> fonn No.A'n-ODt � <br />