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evere� 1191 <br /> THEEVERGREEN <br /> CITY CF <br /> everett OATE _ <br /> att rau • EVERETf GTY OF EVERETT � <br /> � w�snn+croN sezoi <br /> ' INSPECTION REPORT � <br /> i <br /> �� Inspecting DepartmenL• <br /> '�. License Electrical Weights& tJleas. � <br /> � Firc Housing Engineering <br /> Building Plumbing <br /> Inspectors Signamre � <br /> ` Premises Inspected: � <br /> Type of Building or praperty <br /> i <br /> Location or Address � - +f,.� � <br /> Items Inspected: / <br /> I[ems appearing to need additional inspection: <br /> I, ,in attendance on the Premises, <br /> certify that the above inspection was made. <br /> . <br /> Signature_ � <br /> f'orm No.a2a-�oot � <br />