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everett <br />Inspecting Department: <br />THEEVERGREEN <br />CITY OF <br />everett <br />CI7V HAII • EVEqF4 <br />WASHING70N 90201 <br />�j0� <br />DATE ��' � L <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electricol Weights � Mens. <br />Fi�o Housing Engineeiin9 <br />Building —��� Plumbing —_ <br />Inspec[ors Signamrc __ �f �— -- <br />�_— <br />Premises Inspetied: ��'� � < �t.L� <br />Type of Building or praperty C'/Lw.-.— . <br />Location or A�idress ��� Z <br />Items Inspec[ed: ���, ���'Q .P��� <br />TO — r' ! <br />— � (X� '��i+r+ � sa.y —f- -- .. <br />Items appearing ro need additional inspection: �� 7 <br />�' ��.�.,,,.; �,......� ,,�.,�, ,,�,.� r <br />'��� � � <br />� <br />� _ , in attcndanr.e on ihc Pn�misus, <br />certify that the above inspection �vas made. <br />Siqnaturc _ -. . - -.-_ _ - - -._. . <br />ru,�n rd��. a_a ooi &-' <br />