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everett <br />TH!:EV[RGHEEN <br />CITY OF <br />everett <br />CIiV NAII • EVERE77 <br />WASHINGiON 98201 <br />Inspecting Department: <br />License <br />Fire <br />Building <br />In;pectors Signature.— <br />r'43h <br />/ <br />DATE �=� � � � _— <br />CITYOF EVERETT <br />INSPECTION REPORT <br />Electrical _ Weights & Meas. <br />Housing Engin�criny <br />�'J7/. )� e/ <br />Plumbing <br />.., J . <br />Premises Inspec±ed: <br />Type of Building or property <br />Location or Address . � '�y�� � <br />Items Inspecred: � � <br />�I <br />Items app:arn9 to need additional inspection: <br />G /L <br />I, , in attendance on the Premises, <br />certify thut the above inspo-c[ion was made. <br />Signaturc <br />r-o��„ wo. a2n -o^� ""� <br />