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everett 7HE EVERGREEN <br /> CITY OF <br /> �verett DATE _ _ <br /> ��n�« • c,c.En cirvor evr�:�rr <br /> WRSNINGTON 9QI01 <br /> INSPECTION REPOR�� <br /> Inspec[ing Department: <br /> � <br /> License Electrical Wei9hts& Meas. __ <br /> Firn Housing i:���-,:,.. :,;�.�. ,, <br /> Building Pl�:mbing _ <br />_ Inspectors Signature . <br /> Premises Inspened: V �+"� � <br />' TYPe ot Building or propanY �P } <br />,I <br /> i ,. Location ot Address l 7 '-1 7 _�p � <br /> 4i� �_ <br />� � Items:nspected: <br />� —IV�—a�:, �,.,�_t_/����� <br /> Items appearingJ o nee addy'�ig+�al inspc�ticyn: �t <br /> � ���ccadti�' . L, li.�4s � � ho� � �4-�ivoc �< <br /> C G <br />, -/�'�4/qs �� ned��! c � o�cc��ta� v�G,� <br />� T�C tl I�:n(s M.<< Gj PHcJ (7 (Lt S <br />, �AJCSI Incuc` � � � i <br /> GL N �o .-t o (�c t . <br /> * S r - � o c. � <br /> �/c � <br /> �, r; ..., ;u i�, , i��: ,,�� , <br /> certify thai ihe ahove inspection was m:��'��:' <br /> Signalui�.� - <br /> �� � � ,.,. .i�.�: o.i� _ . <br /> � <br />