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everett <br />THEEVERGREEN <br />CITY OF <br />everett <br />CIfY HALL • EVE2EII <br />WASHINGION oPi01 <br />4719 <br />/ <br />DATE _ ��� � " ---- <br />CITYOF tVERETT <br />INSPECT.ON REPORT <br />Inspecting Department <br />License Electrical Weights & Meas. __ <br />1=ire Housing Engineerin9 _ <br />Building Plumbiny . �'� � � ' � � . � � , / <br />Inspectors Signature 1 � � \ � I r � �" �� ` ' / _ <br />Premises Inspected: <br />Type of Building or properry <br />Location or Address !`! �7 v � <br />Items Ins ecteo� <br />P -'1 �, . �, l ( <br />. . <br />i. . <br />Items appearing to need additional inspection: <br />I,_.__ , in attenclance on [he Premises, <br />certify that the a6ove inspection was made. <br />Si�nawre . -- --- ---- _ -- --- . <br />r��„� h�,. nzn_ooi d7 <br />