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everett <br />Inspectin9 DeparVnent: <br />License <br />Fire <br />Buildiny <br />hispectors Signature __ <br />THEEVERGREEN <br />CITY OF <br />ever�tt <br />CITY NAII • EVERETi <br />WASMING70N 98701 <br />DATE. __ _.... <br />CITYOF EVEREI�i� <br />iNSPECTION NEPORT <br />Elecvical __ W�ights & f�4c,is <br />Housing Engineerim.� __.__ <br />� '� � <br />Plumbing �-- �-� : <br />Premises Inspected: <br />Type of Building or property <br />Location or Atldress � -� ;�; J � <br />items Inspected' � - r � <br />);. � . t / ';1 .'c_._ <br />% <br />Items appearing [o need additional insuection: <br />� __ _ _, in attendance on the Prr.mis�s, <br />certify [hat Ihe above inspection was made. <br />SignaWre <br />Fo��o r�o. a2c ooi _T- <br />