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/ �f <br /> everett 4 ' ' � <br /> THEEVERGREEN <br /> CITY OF <br /> everett DATE _:•�/---- _—_ <br /> CIiY HAIL • EVECETT CITY OF EVERETT <br /> WASHINGiON 98701 <br /> INSPECTION REPORT <br /> Inspecting Department <br /> License Electric.il lVuiyhis& Me,�s. . —.. - <br /> Fire Housing —_ Engineerin9 —__ <br /> Building Plumbinc� "I/ <br /> InspectorsSignature ���� , _ � <br /> ,- � . - <br /> — � <br /> Premises Inspecred: <br /> Typc of Building or property <br /> Location or Address �t� ' � � � � - . . <br /> -- � � — -- <br /> Iteniti Inspected: � ,.�t__� , r- ,- C° y�,`� � , <br /> / . . <br /> � , . <br /> i <br /> I�ems ap[N'aring to nced additional inspection�. <br /> I, _ __ ,In attenJance��� the Prcmises, <br /> certify that the above inspection was m:ide. <br /> Siqnaturr _ . <br /> r-o.��� No.a:�a noi .�;. <br />