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evere� <br />THEEVERGREEN <br />CITY OF <br />ederett <br />❑7V NAII • EVERETi <br />WASHINGTON 98101 <br />31i4 <br />�/�/=,: <br />D AT E �---- - <br />CITY OF EVERETi <br />INSPECTION R[POIIT <br />Inspectiny Uepartment: <br />Lio�nse <br />Electrical lNei9hts & Meas. <br />Firc - — <br />Housing ��"�11101�"'� <br />'%� <br />BuilAing Plumbin9 � � <br />.---�� -(�-.. <br />Insper.tors Signature <br />;��'C�-'.� �.i ---- — <br />Premises Inspected: <br />Type of Building or properiy <br />Location or Address y� � <br />Ito�ns Insl;�.�cted�. .. <br />hems nppeari��9 .0 n^-ed additional inspection: <br />� <br />� , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />ro„n No.aaa-ooi � <br />