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everett THE EVERGREEN ( 1 I l� <br /> CITY OF <br /> everett DATE _f_� L� - 7Z <br /> cirr i:au • [veaen CITY OF EVERETT <br /> WFSHINGION 98701 <br /> INSPECTION R[PORT <br /> Inspecliny Department: <br /> � �e <br /> License Electrical � � `I Weights& '�.f��n,. _ _ _ _ <br /> i <br /> �i�,' Housing Enginee:ing _.__ <br /> f3uildiny PlUmbing L� . <br /> � � � <br /> �n�q•ctors5igwture � _ ' 'F'Lt-t�KL <br /> �-- -� <br /> - -- �� / —�------ <br /> / _ _ <br /> P�emises Inspected: � �� �_� ��i� <br /> � <br /> 1�yP�'of Building or propeny i <br /> l_oc;nion or Address / � <br /> -- -- ..� o-v 7�:,�•�---.r _ <br /> IteinslnsPected: . ^,L.c�./ Z�n.:._- � �l'�.� �,c ,--- ..._ � _ . . <br /> 'L yL�' -�.. <br /> Itr.ms ap�aring to need additional insp��rtion: � � � � - �- �- <br /> �� �_ ��� .�_ ���j <br /> ��-' '�� �-'��� � � : <br /> i <br /> � �' / /`' -• <br /> t ,�:2t I/^ �/c� �'�/�'" /�C t`�`-'- � —L. =�- <br /> �• _ ,in attendance on the Premises, <br /> r.crtify that the abnve im..�ction was made. <br /> $i,7naturc _/�l���l[.�( '1/ <br /> - �cr <br /> i,:, �. .a.i nai .�;�, <br />