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everett <br />Inspecting DepartmenC <br />License <br />Fuc —_ <br />Buildin9 <br />� <br />Inspectors Signature— <br />THEEVERGREEN <br />CITY GF <br />eVe�'e� <br />CIfV NAIL • EVEFETi <br />WASHINGiON 9B101 <br />Electrica� .. <br />Housiny _ <br />,: <br />DATE .--/�-- / _�/ <br />CITY OF EVEF:ETT <br />INSP[Ci IGN Ri=PORT <br />`,'Jeights & Meas. _./% <br />En9inccrin9 __ <br />� �. >/ <br />f'remises Inspected: ��/�yfi�3J���G% ��y�'.T� �== � jf <br />Type of Bui!ding or property <br />`/�.c � �u "L �'���!t��/��`�� <br />I_or.a(ion o� Address � / <br />liems Inspected: � <br />� / � <br />���� ( : �`/l ,; <br />- -- - -- ----- <br />-- -- -- - - - - <br />Items appeorin� to need additional inspection: <br />/�C � � G�ZGGG Z� ..�f� U"Z'�' _Gc%E,'t �t <br />�.-Lr��G-�� �/ �i='Cfr'..� <br />I, , in at[end.�.i•�,:�: ur, „�� I':i,mi•.��:. <br />�:�;rtity that the above fnspection was made. <br />�� G' /�� � . <br />Si�7na[ure/�L�(y/1f�/ l��s�t�� <br />i,,,_„�....._ ,. � . <br />