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THE EVERGREEfd <br />CITY OF <br />everett <br />CITY MAII ' � VERETT <br />W ASNING(ON '6101 <br />_� .'� -� i:� <br />UnTE ��_-���_ _ . . <br />CITY OF EVERET"i <br />irisrtcTioN rtEF�or3i <br />Inspecling Departinent: <br />'.I�.:!:t:ir�l _ _. :':'rinl�t>i�:�'1'���' <br />License --- — <br />Fim <br />Housing Engineerinq <br />Buiiding !! — Plumbing <br />Inspectois Signature�-�-f'-r-��'"�-�__4''_-�!� <br />(% <br />Premises Inspecterf: f7 •a � � ✓ ���"�"'^ <br />7ype of Building or property (/�-� . �� u-ys <br />Lu:ru <br />Location or Ad�lress '� � � � � <br />Ilems Inspected: � _ ���_�� � �,.�; ��'�y.�.�.-y- . <br />c�,��..�.-,� � �,p C. �T ----- <br />ItemST,�arin9 to need additional inspection: �� �� L��'_� t—��i <br />4 <br />_ y <br />} 7`( /CZ�� .� t� �c.C:s,���� <br />j. <br />I'_— ---_-- _, in altend.�nce on thr, Prnmises, <br />n:i fi(y tha� thv al�ovc inspe:tion �vas madc. <br />Si�,����atwc _ . . . _ _ .. <br />r-�,�,,, _....».t nnt . . <br />