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-� l� ') <br /> everett `' ' , <br /> � TF- fVERCREEN <br /> �ITY OF <br /> � �� ��; <br /> eWere�4 °A,� — __ _ <br /> � an nau • evEeen CITY OF [VERETT <br /> W ASNINGLON 98101 <br /> !NSP[CTION REPORT , <br /> Inspecting Depar[ment: <br /> Elcrtriral 11'��cl��sF< '.ic,�' __- -._ <br /> License -- - � �-- <br /> Fire Housing G.��ginc� nc _ .— _. <br /> ' > > . <br /> Building _� Plumbing,.= � <br /> �>� > <br /> Inspectors Signature � � ' ----- -- --� ---�------ —--- <br /> Premises Inspected: <br /> Type of Building or properry2 5��� <br /> Lncation or Address �'�'?�"�� ��:' - � . '_� _ _ <br /> t <br /> It��nis Inspected�. , , _ <br /> . ' O . .�. _ ` 1 <br /> Itenu ap�naring t0 need additional in5pec[ion�. <br /> � � <br /> '� t � ,' : � �1 �'\ U-�:� .�� <br /> . �,c CI U �xL�Yt 4� :y '� �. <br /> / <br /> � ,in attendancc on the Premises, <br /> ccrtify Wat the abovc inspection was madc. <br /> Si,�nauuu. _ ... ___ . ._ _ . . <br /> r„���� ri�,.aza-oo� :� <br />