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everett THE EVERGREEN 5 �13 <br /> CITY OF I <br /> everett DATE /� _� ` � / <br /> 4tY HAtI • EVENETi CITY OF EVERETT <br /> WASNINGipN CB701 <br /> INSPECT ON REPORT <br /> Inspecting Department� <br /> License Eler.tric,il ___ 1'yriqh[s5 Mitas. <br /> Fim Housing Enginecring ____ <br /> Building �` Piumbing l� <br /> Inspectors Si9nature� li�/� �,. ///}� � <br /> �-- — —�CX�--.-�r*-...-� <br /> ,/ i <br /> Premiseslnspected: �,i',c-f'�, �„c�t•-'-t� /� � <br /> � / ✓ <br /> TYPe ol Building or property ���z'n-' ' <br /> I Location or qddress �'C C � < f � <br /> / --C�t-s���-! <br /> �tems Inspected: �7-� �L��� �J� - - <br /> t-�-►z-C� � <br /> �-yd�y -7 �-.�---- _ T-F;, l� .i"�---..: <br /> Items appearing to need additional inspection: <br /> U.�� � o <br /> ����. <br /> �,��=�^��-��'r ' ____ , in a�icnd,:nce on ihe Premises, <br /> certify tha; thr,above inspection was made. <br /> Siynatuie _�����Ll/J -- - <br /> Po,m No.n2a*� <br /> a <br />