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evere� <br />THEEVERGREEN <br />CITY OF <br />everett <br />CITV HAII • EVEMER <br />WASHINGION 98701 <br />2810 <br />DATE Gl Y '�, � <br />� , - <br />CITY Of EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical _ _ 6Neights & Meas. <br />Fire __ Housing Engincering <br />Buildin9 _— Plumbing J <br />'- -.I1-_ <br />j,: <br />InspectorsSignature f--- �. �-'•- = " �� .________ <br />Premises Inspected: <br />Type of Euilding or property <br />Location or Address � '-� ' � � �_� � � 1 � — — <br />�.. 1 �. •_ <br />. L.. <br />Items Inspected: �[ ^1-� <br />YKA. �.�_. .c� ••7 l g=� .� ,1-i' . .�.- i �(1--f �'� `� � <br />! <br />Items appearing ro need additional inspection: <br />I, , in attendan�;e on the Premises, <br />cenify that ihc above insper,tion wa; made. <br />Siynuture._ __ _ <br />i-�,�„ r��,. aza-�ooi v; <br />