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- � ; v-. , <br /> ev,erett\ 6095 <br /> . THEEVERGREEN <br /> CITY OF <br /> �V�P���R DATE � �/ � �%�/" �•�— <br /> � �� attw,u • �vexer CITYOF�EVERETT <br /> WASHINGTON 98701 . ' <br /> INSPGCTION REPORT <br /> . inspecting Depar[meni: <br /> License Elecvical Weiqhts& Meas. <br /> Fire -Housing En9ineer'n9 � <br /> /-'J / <br /> i ' i <br /> Quilding /�Plumhing � !'�' � � ✓ <br /> Inspector;Si9naturc_ "�� ��� � <br /> . Premises Inspected: � <br /> Type of Building or property . <br /> . Location or Address � �� >,) � <br /> / .✓ / ;-.-_c;.:Sc..:.c.c�. !J.:: <br /> � Itemslnspected: � ��G `� . /S�y� _ � (��, l <br /> o�to�� '�(LL.r� ��{ }� V,� �/ � <br /> / // <br /> �L,• , , /, �. � ` V <br /> ' - �A..i..C,/J / ��'���L. �..� .�J '�'"� (�r� — `:�' �c: / .• �/ �;j ?/ / <br /> C_ <br /> _____—__—'_._. _.._.l_. <br /> Items appearing to need additional inspection: <br /> .�, .. . � � . . _ ("' . ` i ' . . . . <br /> — :, <br /> I,__ _ _ _ , in aL'endanc� on U-�:: Preinis[:s,� _ <br /> certify that the above inspection was made. <br /> � Signaturc__ � <br /> Fo��» F.,,. :Ja-.aol _... <br />