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everett 6 3 7 7 <br /> THEEVERGREEN <br /> CITY OF <br /> everett DATE oZ ' � — 7 � <br /> arv ian • EVERETi CITY OF EVERETT <br /> WASHING70N 98701 <br /> INSPECTION REPORT <br /> Inspectiny Department <br /> License _ ._ Electrical �t Weights& Meas. <br /> Fire Housing Engineeiin9 . <br /> Buildin9 Plumbin9 <br /> Inspr.ctorsSignaturc__==_'_�/��7._` J'c.�� <br /> ��-- <br /> Premises Inspec[ed: �.a�"`M'� �T�"�"""`�r� <br /> / <br /> Type of Building or property <br /> Location or Address_�o1�3 �`�J,..i� <br /> Items Inspected: �L�,P,�✓�� <br /> / <br /> Items appaar�necd additional inspection: <br /> ���%� ��� �� ��� <br /> I, .__ _ , in anend;u��ce on the Premises, <br /> certify that the above inspection�vas made. <br /> , Signature_ _____ _ _ <br /> Fonn No.4�4-001 � <br />