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<br /> everett 7HE EVERGREEN � �� �t
<br /> GTY OF I
<br /> �vere�t �ATE �_� . / / —
<br /> qiY MA�� • FVFRFII CITY OF EVERF�T
<br /> w45NINGiON 9B]01 �
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<br /> .; _� . , lospecting Department:
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<br /> . ' . License 6lactrical lYeights& Meos.
<br /> , Fire Housing ' Engineering _ /
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<br /> i , � . Building Ptumbing . y/ , p
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<br /> •. .'�' ; � �, '� Inspectors Signature- 1!/ � l-f�� .�t'".m, y �r � I
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<br /> - Premises Inspected:
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<br /> Typc of Building or property
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<br />�� .,�'�- '-•"�'= ••;' Location or Address y�(f� �,�ln � 'i
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<br /> �, � Itemslnspected: ,
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<br /> _ �-:-_`�� � �oo SZTO'�'1 1 Do J
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<br /> +� ' i' "� ' Items appearing to need additional inspection:
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<br /> ' . . - �I �• ,in attcndance on the Premisec, � - � �'I
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<br /> � � certity that the above inspection wac made. �i:'
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<br /> Si�naiure
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<br /> "1 .. .�. .. ' Form No.424-001 .YJ � � .
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