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I <br /> everett 579 "1 <br /> THEEVERGREEN <br /> CITY OF <br /> ����ell DATE - �� -- -- <br /> anHnu • EVEaErr � CITYOFEVERETT � <br /> WASNINGTON 9B201 . <br /> � INSPECTION REPORT <br /> Inspecting�epar[ment: ' � <br /> Lir,ense Eleclrical Weight;& Mea;. ____. <br /> Fiie � Housinq Engineerin9 ___ - <br /> 3uilding � Plum6ing� ✓ � � - <br /> �r.?�-. <br /> Inspecrors Si9nature � � ./-�✓''"i,'.''^'.....—• <br /> Premises Inspected: , � <br /> Type of Buildin9 or property . <br /> I_ocation or Address ��p � %�� <br /> -� i + ..<: t,J: <br /> Items Inspected: -.� ' ;1 '�.... Cc.. ;.�I Ct�,Q �� \rr'o-�--� . <br /> � ,f✓,d•• l.•_ . <br /> r `� <br /> �l,Vl {�'.l_(.: : ..✓. .�;� �,�.l.�Glt.1.,�.r �,9 �/1� L4-L��t. <br /> appearin9 to neCd add� ional inspec[ion: <br /> . � �; ,in attendance on the Premises, . <br /> certify that the above ins'pection�vas made. � <br /> / ' <br /> - � ��_- " ,�/� . . <br /> Si�naturr.'�''� �./%./ <�,X % <br /> �ti::� <br /> i <br /> Form Na.414 01. j '- _� <br />