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��.�� '� �� � I <br /> eVerett THE EVERGREf_N <br /> CITY OF -7 <br /> �VeY�ll DAT6 _ _�I�...� � _/. . ' <br /> �� Cltt HAII • EVENLTi CITY Or EVERL7T <br /> �� WASNINGiON 98101 <br /> INSPECTION RE�01?� <br /> I nspec[in9 Depart nent . <br /> i- <br /> License --- <br /> Fl�ctiical ��� b'Jcigh�SE< <�1r.:`.. . _ <br /> Fire -- <br /> Housinn . Enginecring . _. <br /> 8uilding _ P^iil`n, ,� ' �� ._ . <br /> X� ���7�= � -- -� - <br /> Inspectars Si9naWre C�- —i ------- <br /> �` -�S.�l.e�,�i.�_....n,e'�-, <br /> Premises Inspected: �� <br /> 1 ypc oi BuiWing or property <br /> Loc;.tion nr Address �-0 0 / Zi^-'t'v�/�-�a-`— . . .. . .... . . .. <br /> � — - <br /> _ ._ _ — ����.i <br /> _�itoms Ins��ecied: �Q-��Civ'"" � <br /> ��'� e-�-�lc � <br /> li�i��y,ip�xaring to need udditional inspection: � <br /> ,��J ^ ' _ -� � �,�,�,...«r_. ���. <br /> �y"��,. <br /> � C,�'� <br /> . <br /> ,�Q��Q�`-_��"yyn�a+�lendancr. un Ihc Premi;cs, <br /> r „��. <br /> cr.rti�V tl�,at the a6ove in5pection�vas�»:��t�. <br /> 5ignm�nr _ _ _ . . <br /> i .,��, .,,. ::�a nni . <br /> � <br /> � <br /> � <br />