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everett 500 U <br /> THEEVERGREEN . <br /> CITY OF <br /> everett DATE�O — �C-�' 7—� <br /> cirv ru,u • EVERETT CITY OF EVERETT <br /> WASMING7JN 9B301 <br /> INSPECTION REPORT <br /> h�r.;r�:ing DepartmenC <br /> ✓ <br /> Gcense Electrical Weights& hleas. _____ <br /> �ii�� Housing Engineering _— <br /> 3uilding Plumbing � � <br /> Insnectors Signaturc_�� ' ' -. ��.�—�--� <br /> Premises Inspected: l/`� � lf S Z'c'> �t ��'S ��� <br /> Type of Building or property �✓� S <br /> Location or Address ��� � � _C , �- � <br /> — .1-1=— �2—X=�� � c=--'- �\"-�- -- - <br /> licins Inspected: <br /> C <br /> r �/� � <br /> '. ._-L_!�. _f --- -- -- <br /> - { � - <br /> �Itanis,ipP�';�ring to nceJ ndditional inspection: <br /> � �. <br /> l � <br /> � _ , in att�ndunce on ihe Premises, <br /> certify that the a6ove insper.tion�vas made. <br /> Siyndture__— . _. . _ .__ ._ . _ <br /> � „�,�.� �:.� :. : ani .� <br />