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everett <br />THEEVERGRFEN <br />CITY OF <br />everett <br />CIiV HALL • EVENETT <br />WASHINGiJN 98201 <br />Inspecting Department: <br />License <br />rl 1 � � <br />�,�1.�_ <br />c� <br />DATE �_/ �-- /- /�--- <br />CITY OF EVERETI <br />IfJSPECTION REPORT <br />Electrical Weights & Meas. <br />Fire Housing Enyinecr��i9 __—.— <br />U� ��L <br />Building � <br />% <br />Inspec[orsSignature ���"�������� ---�— <br />Premises Inspect:ed: <br />� ' � �✓ �c'O,cr.�/i�-"-_ <br />Type of 9uilding or property��y.i�, _.c ��'�'` . 7/ <br />�ocation oi Address « � % / �.d'/'� ��� <br />Items Inspected: � p O ��� /O L� / a�v `�l <br />Items appearing to need auditional inspection: <br />in sttendance on the Premises, <br />certifY ihat the above inspection was made. <br />i7 �� , <br />Sipnatur��._� • ^��'{ �=�'- <br />j <br />Form No.424-001 � <br />