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i n�,;,ecting Oepartment: <br />L���.�.�nse <br />THEEVERGREEN <br />CITY OF <br />everett <br />CIiY NRII • EVERER <br />W1151UNGTON 9810� <br />Electrical <br />692;� <br />DATE �� Ir <br />CITY OF EVEREI : <br />INSNSCTION REP:;"', i <br />'Neights & Mcas. _ _ <br />f���-� Housing Engineeriny _. _ <br />,? `/� <br />B�.�ilding Plum/b'�inrg%�� �(�'� ���-'�rf .� <br />I�i�.J .\.��✓✓v'",riC'C..__.....� <br />�ctors Signaturc� - <br />V,c, t.e.,� �t.x : Cw1 a�'.5. , L_,wT;. - <br />Premiseslnspected: <br />Type of Building or propeny <br />i <br />Location or Address S%2 S <br />� <br />Items Inspected: .1�6vr�� i�l �—- ru � � 3/y' �—�'u � Fr�+-� W i.�%� �- <br />J .�.�o a,, <br />. ,;:t.ts'c. l�in�fl ��frNf s /�)�,f/I.TcljNcS p�c '%-i� /' � . <br />'i'.1,��� `/D��lS WJ��t/ Y'7" �19 4Uo�/C. �%n(� � �- l.:FflNy^.t ,fj_'. <br />Items ap�x:aring ro need additional inspection:+� � <br />1 -� � � 6r.`. ^Ir� la'1` —/iJ5-{n,�/ Q.�,,)j�n c:r\/o� {�t�� <br />LGn100 ID - .�1 nC � <br />r � <br />��1 �S IP ti� � �- � . .-1 • _ � �� � ;,,� . i r ,. . . <br />�.�_��Sic�-c. _. <br />� , in nttcrdencc on iho Piuinir.�,�.. <br />certify that the above inspection was made. <br />Signamre�J,j'� %��� �_ <br />r���. _� ,.� nm _ <br />