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e <br />Inspecting Department: <br />License <br />Fire <br />THEEVERGREEN <br />CITY OF <br />`����� <br />CIiY HAIL • EVEREII <br />WASHINGfON 98201 <br />Electrical <br />Housin9 <br />6G�!5 <br />DATE. '!ID/_/ <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Wei9hts & i14r.as. <br />Enyineering <br />Building � Plumbing <br />� <br />Inspectors Signature ��'�' - � G �'�� _ <br />Premises Inspected: � <br />Type of Building or property <br />Location or Address �S Q 7- <br />�2.('YL�` ' �ifL/vY1.L(.C(/�—c <br />r�,v��.r 9�-c'�-�.<..r�:-� <br />S <br />Items Inspected: �/��� G`c �� <br />,(i,�-Y�-�(�i,-� li�^-� �� `���-n <br />Items appezring to need additicnal insF:c-ction: <br />c'.�.��/.y,�. ,-w,-� �,�,.,.�, <br />� -tf-w�2� �'''��-t �-,G�[(� �r a�.�,n,.a--' � <br />� Cn /Q'� Li-`i� s• ,�t�,,,J•i,� •'�a��t�--L.� <br />�. , in attendance on the Premises, <br />certify that the above inspection was made. <br />//� <br />Signature ��� ��.-. c�..-- <br />rorm Na.92q-n01 ._. <br />