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eve-rett 5 30 �J <br /> THEEVERGREEN <br /> qTY OF ) <br /> everett DATE //�=���__ <br /> arv 'wu • EVERETi C'TY OF EVERETT " <br /> WASNING70N 98101 <br /> IN>PECTION REPORT <br /> Inspecting Department: <br /> Licens^_ Elecufcai _ __. ',','olyh,s 's P.+r�is. - — <br /> Fim Housiny Engincerin9 ._ .___ <br /> Buildin9 `/ Plum6ing <br /> i � �/�� <br /> � Inspec�ors Signature�-f�/'� - —C�CL7='v`-�'y'----- <br /> ���---- - --- � <br /> � Premises Inspecied: �iGCCLu�—��T�'✓` <br /> Type of Building or praperty �j',���!� • <br /> Lncation or Address �•�� , Pq���`—_ _ _ <br /> i <br /> Items Inspected: ���t �/�,(� �-C,.•�-� s; /.S�+iJi <br /> ��/ �� / <br /> �/�/� � �iv�a _��' <br /> Items appearing to nced additional inspection: � <br /> � z - �/'�.�,o <br /> �a�,�-- .c.-� �.�cc.C� C_:�1�_ Lc!�-��t.. .- ��T� <br /> � /1'�„eC �.�e-o-�.1 o--r �C.a�- /�t���/� � �p..� <br /> �! � `�`" J <br /> p�..zf. T ✓ �-cs�c.c � G-�`•-,4,�.�,�� � <br /> �,f�t-�� ,in nttendance on the Prcmises, �+ <br /> certity that ihe above inspection was made.�� �� <br /> G�' G.�Y �i(/�.tel �'s-j /`w--r•-!/� <br /> $ignatu�� � <br /> U vti�t� � <br /> ,,.,,,, h�, 4„ o�, ,�, <br />