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J <br /> i <br /> n • �� <br /> [ �r .l <br /> everett THE EVERGREEN � <br /> GTY OF � <br /> everett DATE _=_____ . _ <br /> Cltt MAII • EVEREII CITYOF EVER[TT � <br /> WASMINGTON 5830� <br /> INSPECTION REPOFi� <br /> Inspecting Department � I <br /> License Electricel Wei9hts& Meas. __ - <br /> Fire Housing Engineerin9 __ <br /> Building Plurp�n9 . �' ..� �:"<1 / <br /> Inspectors Signature l� ��' <br /> Premises Inspected: <br /> Type of Building or property . <br /> C � � <br /> Location or Address /Z-L,� � t.�., .�,�. ��"L. <br /> Items Inspected:� - //!� � � � ' <br /> r -tt!�-" <br /> Items appearin9 to nr.ed additional inspcction: <br /> �, __ __ ,in attcnd.�nce on the Premises, <br /> certi(y that Ihe above inSPection u';is m,ide. <br /> Siqn:nure _ ___— <br /> �o�m No.424-001 1%r <br /> —���_I <br />