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m <br />• , ' � <br />' . <br />. f• <br />' • I <br />e�erett 3793 <br />��_ <br />THEEV[RGREEN <br />�� CF��E�e'�� DATE �i�' /� - <br />�,�.''% <br />'�_ �✓ an �+nu • EVER[II CITY OF EVEREI'T <br />W�SMINGTON 98201 . <br />INSPECTION REPORT �� <br />Inspecting Department: � <br />License Blectrir.al /���� Wei9hts & Meas. <br />Firc Housing Enginccring <br />Building Plumbin9 . � <br />�.o /�,,/ <br />Inspectors Signaturc '"� �� Ct"`�`'r�"-ZCy � <br />� —�— � <br />i <br />���� ������� � <br />Premises inspected: � <br />Type of Building or property ' <br />Location or Address � (�G�� � � I <br />� /�J Y�- t��l. LS•�v <br />Items In;pected: � c � �+.� �,,�E'.w�-� �:=-ef � <br />U � <br />t <br />._V ( V ���_/�_'�" ��-~f � <br />Itemc a�p�anng to need additional inspectio�i: <br />�, _, in attendance on the Premises, <br />er.rli(y that the ahove inspection �vas made. <br />Sign;rturc -- <br />I'orm Nn. 424-001 .Y] <br />i <br />r <br />,'1 � �._. r� <br />�1' f� �, �; � }:� \ l:�v� �_ `�' � ( / _) . <br />o/J � <br />