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everett <br />THEEVERGREEN <br />CITY OF <br />e��erett <br />QTI �4l1t1 • EVERET7 <br />WA541NGtON 98301 <br />5046 <br />DATE��� I <br />CITY OF EVERETT <br />ir�s�Ernor� r�EPor�r <br />Inspeciing Departmenr: <br />License _ LP�,.:�,�.�;i __ 1,,.�... :-,& fAu�:. <br />Fire h!ousing _.. . . �. �. <br />Building � Plumbing __. <br />Lispectors Signature �. U�.�✓ �� .., � <br />� ��-�niseslnspected: ,r/' 1 �.+ I' `�'""""�'�•' <br />i <br />f �pe of Building or properry 1„y�y...�rn�, <br />L„cation or Address � <br />7���'— 's _—�---- , - __ <br />Itemslnspected: Q,���� ��f` _ � ,�l y <br />� 'l,tc�—'a"'`.a.i " �� �:4 � `—�-� , . _ I <br />c -- <br />Items appearing to need additional in pection: �� „ y� � <br />rpK �G"7-r-f.,.�a _ n tis�-'4s.-�.T <br />�'-�-- �ti � L�. ���-�� �, z � <br />rf,�.... 6. /T. '� �a�-s�.� iJ�c.-!i � �,..�.� . <br />_, in attendance on the Premises, <br />made. <br />Signature <br />Fonn ft...L�: �:ni <br />