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e��erett U �� � <br /> TIiE F�'ERGREEN <br /> C�TY O"r � <br /> � everett DATE �V �_� <br /> c;rv rau • CVFRFTT CITY OF EVERETT <br /> .� WASHINGTON 9B]OI <br /> INSPECTION fiEPORT <br /> Insi�ecting Department• <br /> I_:cc�isc Electrical Wei9Ms& A4eas. <br /> I�ir�� Housing [n9incering ./ . .. <br /> \� <br /> �s�,;�.�.lin0 Plumbin�/�— <br /> � . 7 `� <br /> In�.��cc[ors5ignaturr. � �=-r c_-.c._. -__ __ ��C' <br /> Premises Inspected: <br /> Type of Building or pi o;..�:r, <br /> Location or Address � ' ' <br /> - �L.._i' (,- . . —_ - c..r r.. . . - <br /> Items Inspected: (�� G G�..y. . ; �,• �j i • <br /> �� ,� . ��� ���� <br /> z;� . � � <br /> It�ns i,��r�_nni !on.:^d ��diuoi��:' in � .. �� � ��_ . . _ _� . � <br /> I, , �n ath.n�encu on tha P�emis^_s, <br /> ce�tify that the a6ove inspection was made. <br /> Signature _�� ___ <br /> . ., _ ... .. .. e�.,i .'.. <br />