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THEEVERGREEN <br />CITI' OF <br />everetk <br />CIiV haLL • EVERE71 <br />WASNINGiON 9B201 <br />v <br />Fi!y�j�; <br />DATE —'7�.�-L--� � �- <br />CIT`:� OF EVERGI T <br />INSPECTION REPORT <br />Inspecting Denartment <br />License Elcr.�ricril Wciqhts8� P.1;,is <br />Fire � Housing Engineering <br />Buildin9 Plupmbir� .. <br />Inspectors Si��nawre��_ " �� <br />C��� —� — — <br />� <br />Premiseslnspected: �K'��'a;J /��% <br />� <br />Type of Building or property <br />Location or Address �� ' �.` <br />1� — ------ <br />Items Inspected: �Qc� <br />Items ap��rtpr§ to neeU atlurtionai inspecuon: <br />'✓ ✓��/�!� ` <br />�2e� ��,��-�-�. <br />� , in attendance on tha Premiscs, <br />cerUfy that [he above inspection was made. <br />Signature <br />Fo��n No. aaa- ooi .�� <br />