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�j !a ;:; l � <br /> everett Th1E EVERGRFEN <br /> CITY OF � . � <br /> � <br /> everett DATE �__ -- _ <br /> ��ry Ilplt • EVENETf CITY OF EVERETT <br /> WASHINGiON 98201 <br /> INSPECTION REPORT <br /> Inspectinp Department: <br /> License Electncal Weiyhts� Meas. ——_ <br /> pi��, Housing Engineering — -.- - <br /> � Sz?�'_ (�j ( )�C� <br /> E3uildinc� Plumbin9 = <br /> Inspectors Signature '' � -�— � - <br /> Premises I�specmd: <br /> Typc of Buildin9 or prop^i ty <br /> LocationorAddress �j7 �� � !� ____ __ � _____ ___ <br /> Items Inspected:y_r j r ; l �F..;i ' ;. c �. . <br /> / ./; <br /> Items ap�x.aring to need additional inspection: <br /> � . , �'_ . . . .. � ... <br /> � , ir� attendance on the Premises, <br /> certify that the above inspection was made. <br /> Si,�na�wc --_ --- . . <br /> I o�in Nu. e?q OOt __ <br />