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Insuecting DepartmenL• <br />�ic:ense <br />THE EVERGRE`cIJ <br />CITY OF <br />�everett <br />Cltt HqLL • EVEVER <br />WASHINGiON 9BY01 <br />e!ectrical <br />>'� • G � / <br />DATE �� — lc, � — _,_ - <br />CITY OF EVEREi-I- <br />ir�s�Ec1 ior� r,r-��o!; � <br />��__ '.;'� in'i,. ". . . �.._ <br />�-��=' Housing cnoir.;crina <br />Building P.'umbing .. --��� <br />Ins:ectors5ignature _ � - /�c�/.�) <br />�-..._..__. .__-. ._ . <br />_ . . .____. _... <br />� ,/ � / <br />F�emises Inspected: �� j 5' � 4. Te =�./j, �( r. <br />� c - -7 <br />i-�,�rie of Bui�die9 or pr�perty �� �� <br />._or.ation or Address ��� �� <br />. .___ _�irj�l.�"�''� ���''c� <br />I;<ins Inspected: -- � _. . . _ � _. �-- <br />� � <br />��' '`�� /���c � ���/ � <br />— -N, t-��_ L, 7 <br />It���:r.: ap�i,;; i�n� to need'additional inspectioi : C <br />�.� --------- _-_ _ , in attendance on the Pr�:,��i <br />r.ei tify d�at the above inspection was made. <br />Signature <br />Fonn No. 4]A-001 1!r <br />