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everett <br />THEEVERGREEN <br />CITY OF <br />everett <br />CIiV NALI • EVERETf <br />WASHIN�+ION 98201 <br />Inspecting DepartmenC <br />License <br />Fire <br />6uilding <br />Inspectors Signature — <br />�% �/' ,i <br />1 I (_ <br />� � r��' <br />�ATE _ / .._----- -- <br />CITY OF EVERF i ? <br />INSPECTION REPORT <br />Elecvical `Vei9hu & Mens. __— <br />Housing Enyineer-ag� ---- <br />Plumbing�Z� � � / <br />'! / ! `� .--. __ <br />Premises Inspected: <br />Type of Building or property <br />, <br />Location or Address � �' .1 � � . � <br />Items Inspected: � , -� � �_,,.� <br />; ,t , �<.����_. , ,�, o rc � <br />hems appearing to need additional inspection: <br />� _ _, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />F���„ No. aza-oo� .� <br />