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ev�re� <br />irs�:ectin9 Department: <br />;::nse <br />� <br />TH[EVERGREEN <br />CITY OF <br />everett <br />CIP! HAII • EVENET7 <br />WASHINGION 98i01 <br />� � <br />Electrical � � i" <br />i <br />Housin9 <br />DATE _ _�_�. I_- ___1I--_ .. <br />CITY OF EVERETT <br />inis��cnor� neror� � <br />lV��inht, & f,ie;u_ ___- <br />Engin..,nnq . _. _ <br />S�iilding Plumbin���� <br />'-isnec[ors 5ignature•__--_- ,-� � ..___. _—_.. . . ___ <br />Premises Inspected' �" L��''�'� �����'������ <br />7ype of Building or property <br />/ �1v � <br />I.�ica[ionorllddress ���-f �.'F,2L'�1,u7y.t� . <br />. . .... .. . ____. . .. . ___ . . _._ . _ . _ _ . _. _ __ -.___ . <br />It,�ir li :;ted ,'i�� 7 .vr�-�,t._., i�..�e � iY.'+-s'L' . <br />(1 ..�'/__ � _ . . _ .. ... <br />,... � {��raring to necd�aJmq>`nal insP�..� �C� G� <br />., <br />.��� �,`�"� ���. <br />: �� v�� � G <br />/[ i . <br />�[. �LC'/�/�'.a'�<��Y-)G 1�.. . <br />� _ , in attendance on the Premis^s, <br />certify Ihat the above inspection was made. <br />Signature <br />. ... ... .. , ,��.�i .� <br />