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everett 7HE EVERGREEN � / <br /> CITY OF <br /> everett DATE- �-Z - ��/ <br /> rirr natt • EVERFrt CI7Y OF EVERETT <br /> N'ASHINGiON 9l701 <br /> 1NSPECTION REPORT <br /> I nspecting Department: <br /> L�cense __ Electriwl Weights&Meas. � <br /> Fire Housing Engineering <br /> 8uilding Plumbing <br /> In:pectors Signeture <br /> Premises lnspected: � <br /> Type o(Building or propeny Z(�a Z- O �-�0-'""'� . <br /> (������—/. <br /> Location or Address �j' <br /> Items Inspected: / ��y���--�, d� ----- �� -. .---�- --� -- -- <br /> !�i/fGK " ��i�r2i[f.D-GL/ � � <br /> Items anpearing tu need additional inspeetion: <br /> L'L^�j�/y�� y�� i/ ,4/ . <br /> -'f ""�7f�e��. \.. <br /> �• �� '/��J���///� I <br /> V -���LL ,L"7vA'�_"1�.�:�J�.....uo: r,��i ;h.. i�1i.:,,;. <br /> ccrtify that?hc�bovc inspaction i^.as m�de. <br /> � �����, <br /> Signalu ____ <br /> ` — _ <br />