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eyerett <br />7HE EVL:RGREEN <br />CITY OF <br />e�veret# <br />CIiV HAII • EVERETi <br />WASHINGTON 98201 <br />-�� -, -, <br />r� , <br />. ; <br />�l <br />i �` <br />DATE � '�� �---__-. <br />; ,— <br />CITYOF EVERETT <br />INSPECTION REPOP,T <br />Inspecting Departme�t: <br />License -- Electrical Weights & Meas. <br />Fire Housin9 Engic:,erin9 <br />Building . Plumbing Y�- n�' J � � <br />�nspectors Signature —�` -� ' — <br />Premises Inspected: <br />Type of Buildiny or property <br />Locat�onorqddress / �; -� ', ;.: ;' I, � <br />Items Inspecred: �t � <br />_ _�` . - V, . � .- '�� � -- � - <br />L. <br />Items appearinu to nend additional inspection: <br />�,_ _, in attendance on the Premises, <br />certify that the above inspec[ion was madrz. <br />Sic�nawre <br />Fo��„ No. azn.. oo� .��' <br />