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everetE <br />THFEVERGREEN <br />GTY OF <br />everett <br />CIr1' HPII � EVEREiT <br />WRSXINGiON 9E701 <br />35- � <br />DATE_��— � � <br />CITYOF EVERETT <br />INSPPCTIOfJ RCPORT <br />Inspecting Department: <br />License Electricai �/� /_�' �, . , <br />Fir¢ Housin� � <br />! Ln������_�.�ing __ <br />Buildin9 �imbing __ ��� <br />inspectorsSignature— �__ �_____ <br />� _ <br />�',-emises InspectnC l�(�}c � � �P S �p <br />i�ype of Building or property �j (� (� <br />i_ocation or AAdress "� � <br />--�� ---��,.< <br />� �ems Inspecred: <br />` c%� r-��� <br />� , in attendance on thP Premises, <br />.,.i tify that the above inspection �vas made. <br />Signature <br /><-� � <br />