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I` <br /> everett i'� 61 <br /> THEEVERGREEN � <br /> C�TY OF <br /> � eV�P��II DATE_� �- ? � - ' "�- � <br /> cin Hnu • EVE4cR CITY OF EVERET�T - <br /> Wa�MINGiON 9°'.0: - <br /> INSPECI�ION REPORT <br /> Inspec[ing Department . <br /> Licen;� Electrical ___ Weights& Meas. <br /> Fire _ Housiny Enginer.rin9 <br /> Euilding �ibing __ � <br /> Irispec[orsSignature _��� �'- ��_. __�-�G,' <br /> � � / <br /> � Premises Inspec[ed: tiz/L!„ ��`-/ <br /> �f 7 i <br /> � . Type of Building or prooe�ry <br /> Location or Address J a 3 a '�,,.r ,_., <br /> �'- <br /> Items Inspected: /L..�� Q ��-u�-----�------------- � <br /> i - — <br /> Items app^aring to/need addition m�p tion: � —�-----------� -�-�- <br /> G� ,fi�,s-"r�-C� � �-(Z/-�- L <br /> � (i <br /> i <br /> , _�:_..__S.�-L _�/�in attendance on the Premises, <br /> r,ert�ly that the above inspection was made. <br /> � � Siynature � � <br /> Fonn No.42n-001 ._� <br />