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THE EVEFiGREEN <br />CITY OF <br />eN�r�ett <br />CIIV HALI • EVERCii <br />Y'ASIIINGiON 98101 <br />3C?� <br />' �ATE -/� d �� _ . --_. <br />� <br />CITY OF EVERETT <br />INSP CTION RF:PORT <br />Inspecting Department: <br />I License Electrical Wei�hts& Rdcas. __ <br />Fire H�using En9ineeriny _____ <br />i <br />Quilding _ PI imbiny � � <br />t � <br />InspectorsSignature � _ _ Q'�C�4:� ___ ���_�.� �� <br />h y ��_5.- =--� -- <br />� <br />Premises Inspected: � � -f-�� .,� � �W <br />Type of Building or property <br />I Loca[ion or Addre,s �S � (� <br />-- ''�" �.c.o,. <br />Items Inspected: (T ` `� <br />`� � <br />Items appearino to need additional inspection: <br />_O /G `p �,�v-?L <br />���N�U _, in attend;�nca on thc Premi�es, <br />aho��r, inspec[ion wns nt;�ao. <br />Signawre _._ <br />ror��, r:o_.�za -nni =. <br />