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� __ <br /> everett THE EVERGREEN ' � <br /> CITY OF <br /> everQtt OATE ______ _ <br /> on ��nu • eveuert ��TY OF E':'ERETT <br /> K'n511ING70N 98301 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License Electri�al Wciyhts& ':9cas. _._ <br /> Fire Housing Engineeri�a <br /> Building ,j,Plumbing � __r� , <br /> �`P ` <br /> InspecrorsSignature - - <br /> Premises Inspected: <br /> Type of Building or property .`_� -. ..'. � -- � - - ' <br /> , ; <br /> Lo�a�ion or Address � � � %�"l�'� '. . � � <br /> Items Inspected: <br /> Items appearing to need additiunal inspection: � � <br /> ,:- <br /> � - � � . . � r� .:� �, . _ . . <br /> i . <br /> i, ,in attendance on the Premi�es, <br /> certify that the above inspection was made. <br /> Signaturc_ <br /> r�,��� r;� a�.i ooi �9 <br />