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evere� 5111 <br /> THEEVERGREEN <br /> CITV OF � / <br /> everett DATE _L 1 `1�� � _ <br /> att�uu • fYEPFTT CITY OF EVERETT <br /> W1ISNINGTON 981�I <br /> INSPECTION REPORT <br /> I nspecting Oepartmenr. <br /> ✓� <br /> I_icense Electriral Weights& Meas _. <br /> t"ire Housing Engineering _ . <br /> i;uilding Plumbing ��`�� /") -. .. <br /> � / l <br /> ins{xctorsSignature � • �r �� <br /> Premisesln�pected: ��,� ��t- •' ('�'f!t-1�(�:(� <br /> Type of Building or property �p � �_ <br /> Location or Address ��� �� ��' <br /> Itemslnspected: / � ��� — <br /> � �'.-� �j�^ G 6G•c 'T–% <br /> S�_� �Z � j' y�c�. � . <br /> t ,,�-;,�,��� �� � � � �i , �i��,:�-.i „�:�� -----`--- --,- - <br /> I, ,in attendance on the Premises, <br /> certify that the above inspection was made. <br /> S i�n a tseH�'�"�'�+7,,:� <br /> i ,.���, r:..�.a-a �o+ _ <br />