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everett THE EVERGREEN J � � � <br /> CITY OF ' •p G,+ <br /> everett DATE_r> — / � ?/ <br /> cirv�uu • EVElER CITY OF EVERETT <br /> WASNING70N 9L301 <br /> INSPECTION REPORT <br /> �'��Pecting Department: � <br /> -"�""� Electriwl ,'7-��1 Weights& Meas. _, <br /> F�ir. Housing Engineerin� <br /> 3�.iilding Plumbing <br /> Inr,pector55ignalure��i�(�e.7�i, — - ._.. .. <br /> �__ ._7 <br /> - f- - <br /> Pi�•:nises Inspected: �yvy,.�,�„ ��t� <br /> i�;-p•�of Bui�ding or praperty <br /> _ _� �._:!iun or AddresS��J p (.� •>,���f�i .— <br /> O�C C <br /> i,� ,. l;� ,,,,�ted: /'�.t��"c�v C ' r'-; �_� - <br /> f�,�/ �.J S ,���— � U, U <br /> _ / t'L.�- <br /> i��'��',c a�qr�aring to necd additiona� inspection: - <br /> �j/J � � <br /> • ..�J�R��� /�'�''W'�-�� � 1� <br /> ,,�� �....� � G',-- ���� �e��f C.�.-^' <br /> �(�,�-��� <br /> �- - ,in attendanre on the Premises, <br /> �::n��;y that the above inspection was made. <br /> Signature TC{/��� y�k„�' <br /> ro��„ r;o.<1a -ooi '=7 <br />