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everett � �� `� '� �► <br /> THEEVERGREEN <br /> CtTY OF <br /> everett DATE_ <br /> CItY H4Il • EVEREII CITY OF �'lERETT <br /> WnSHINGTON 9B701 <br /> iNSPECTION flEPORT <br /> inspecting Department <br /> Licenx __ Electrical Weights& Meas. __ <br /> Fire Housing E�eerin9 _ <br /> Buildinp Plurnbing L`� ��' ` <br /> Inspectors Signature ''-� � - ��� <br /> Premises inspected: <br /> Type of 6uiiding or property <br /> Location or Address � :? \ ,. . � ' - <br /> .J 1'�Q_ <br /> Items Inspected: � C _ -� . <br /> . . ,�• � , , .� _ , . . <br /> , , •. ._ ( <br /> Items ap{marin9 to need additional inspection: <br /> �• ,in atiendance on thc Premises, <br /> r.crtify that ihe above inspection was made. <br /> Sigitatwc .---------. . <br /> f uim Nn. .1�4 U01 J <br />