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everett <br />Inspe�tiny Department <br />Licanse <br />Fire <br />Building <br />Insiiec„irs Signature— <br />THEEVERGREEN <br />CITI' OF <br />�V�r('i� <br />CIiY HALL • EVE0.ETi <br />WASHINGiON 98101 <br />Electrical <br />Housin9 _ <br />Plumbin9"��`� <br />� � <br />,��. � e� <br />DATE ( ;' c,� :,�_-�_ � . . —. <br />CITY OF EVERETi <br />INSPECTION REPORT <br />Wei9hts& Mcas. .___. <br />[ gin„i,ri� �, - _ <br />Premises Inspecred' <br />Ty{;e of 6u'Iding or �roperty <br />Location or 4ddress ;�� � S� � �� t <br />..�:ms Inspected: . <br />�t'.0 �G.c_..'��z/ _^� . .. �... ..__ . . <br />Items appearing to need additional ins���er.�ion�. <br />I'. ___ __ _ . _ , in attand_ince on [he Prr!mi>es, <br />ccrtify that th!� afu��c in;pccti,in �:a; m��de. <br />Signature <br />Fn;rn No.4_4 001 __ <br />