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everett <br />THEEVERGREEN <br />CITY OF <br />everett <br />CIiY NALI • EVERETi <br />W ASNINGiON 98701 <br />ii._�.�ll <br />DATE �a �L_—E�I_�l ti- <br />CITI' Of EVERETT <br />INSPECT�ON REPORT <br />Inspecting Department' <br />License Eler.tric,�i __ �Vei9ht; & iNeas. ___ <br />Fire Housing —_ Engineerin9 . <br />Plumbin ✓ � tti� <br />Building 9 <br />y ' ix.C:....�,w�-- <br />Inspectors Signature / =-�--- — --- <br />Premises Insper,ted: <br />Type of Building or property <br />Location or Addres- l L l�e F' �� <br />Iterns Inspected: P��a �'7�"`"��' ��~� � S`� <br />�. . � � <br />Itenu apP"�ring to need additional inspection�. <br />P c12�`-� i-T � <br />� --.- ---- , in attendance on thr. Premises, <br />certify [hrt thc ab-�ve inspectian was mndr. <br />Si9nature <br />Fo,��,Na.azn ooi ._ <br />