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� ( 1 <br /> �l '! � ( 1 <br /> everett THE EVERGREEN <br /> CITY OF <br /> �verett DATE y��- �—�Z_ _ <br /> Utt NALL • EVERER CITY OF EVEPETT <br /> WASMINGTON 98701 <br /> INSPECTION REPOf1T <br /> Insp:�cting Department: <br /> Lia�nse Electrical ���� 1Veights& Meas <br /> Fii�� Housing En9inecrin9 ___ <br /> 3ulldin� Plumbing <br /> ��,�- � <br /> Insper.tors Signature ---- <br /> �- __ — <br /> Prrmises Inspected: � � Y` '� � <br /> Typ�: of Building or property <br /> .. LocationorAddress j Q fi��G�,- ��---_,_. <br /> �u -- <br /> Items Inspected: —�e_„r,a- <br /> U <br /> -__��-.-t���'�z� ---- -- <br /> Items app2��nq to necd �dditional inspecuon: <br /> � _ __ ,in ottendancc on thc Premises, <br /> ccrtify th:ii ihu abovc insP��tion;veis made. <br /> Siym:ture _ .. . __ <br /> Fnr m '..�.�... 001 ._ <br />