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Pv�?retf <br />I nspecting Department <br />License <br />5 �l � <br />THE EVERGREEN <br />CITY OF <br />everett DA7E���— % / <br />arv�au•EVERFII CITYOFEVERETi <br />WASNINGTON 9E301 <br />irisr�crinra �r r� � , � <br />Electrical ��} � �. � . <br />�ire Housing __ Ln������_�..:�� , <br />'iuilding Plumbin9 2'% /) <br />�nspectoro Signature _ �.(6� �_� � � <br />I'�emises Inspected: ,�(J'e�'�j % �'At-� V , � (—c�.- � <br />Type of Buildiny or property �q �` � J <br />Location or Address ��� � , ��/� �� <br />I�ems Inspected: <br />CC��O U � <br />,n�ms ap nng to need additional inspectioy '— <br />c''G� �i2 t.c..0 5?!� l c l� o y�/ <br />�. , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Porm No. 4T4-001 :�J <br />