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everett ' b� � <br /> THEEVERGREEN <br /> CITY OF <br /> everett DATE � � _ _____ <br /> crvwu • evEaEn CITYOFEVFIiETT <br /> W ASNINGiON 9B]01 <br /> INSP[CTION REPL`RT <br /> In,pectin9 Department: <br /> License EI?cVicai 11'eiyhts& Meas. � <br /> Fire Housing Enginecring _____ <br /> Building Plumbing `���' `� _ /� <br /> Inspectors Signature '-� ' V� t/ <br /> Piemises Inspected: <br /> Type of Buildinn or property <br /> Location or Address -� � <br /> _._--._ iG � % �1 �� . . . <br /> Items Insr�:cted: ���� � <br /> Items ap��riny to need addi[ional inspection: <br /> ✓ _ <br /> :' '� .-� �r. ,_i•-r s,� u.�� V '� <br /> � <br /> I._.— —_._ ___ , in u'tcnii.ince on ihe Premises, <br /> certify that the c6ove inspection v+as mad�:. <br /> Siynature _.___.,._.____. _ _ _ <br /> ron�, rao_az.: Joi ?� <br />