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� <br /> � <br /> everett 3471 <br /> TF'E EVERGREEN <br /> i' qTY OF /�/ <br /> � eVel��ll DATE d �G�'_%�l_ <br /> cirv Hau • EVENER CITY OF EVERETT <br /> WASHI�lG70N 98201 <br /> ��. INSPECTION REPOPT <br /> In•�pectin9 Deparirnent� <br /> I.icense Electricai l"Jeiqh,s& PAr.�;, � <br /> Fire Housing Engineerin9 <br /> Buiiding � mbing <br /> IncpecmrsSignaturc \ ���L_._"�f��L:t�'L��� <br /> Premises Inspected: �.iLe��������-,� � � <br /> Type of Building or proper;y <br /> . Loca[ion or Address � � � � [� i�^ <br /> � l.� ��1�'��2G1 a�- /.' l,G.= <br /> _ —�— <br /> Items Inspected: <br /> --�����G.s�rG��L.�"��/ jL,=t.'.L£-�!�Z'/ ��.�'tL�%Y'.L._i <br /> Items ap�x_�arin9 ro need additional inspection: <br /> / i� <br /> ��ZLC . _: —!� �� /:; � — j% <br /> � l/ .�i�[..��- �G./ �'� <br /> L <br /> I, ___ , in attendunce on thc Premises, <br /> certify that the above inspr.ction was maJe. <br /> Signnture <br /> Fam� Nc.4?A-001 � <br />