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� ��r4 ��� <br /> e�erett THE EVERGREEN <br /> CITY OF <br /> DATE � _�/�z— - <br /> everett � <br /> ��ry Np�� • EVERETf CITY OF EVERETT <br /> W ASHINGfON 98101 <br /> INSPECTION REPOR-� <br /> Inspecting Depar[menC <br />� � License Electrical Weights& �im's. - - - <br />' Fire Housing En9i�n�; . - � <br /> �.o c, � <br /> . Building Plumbin9 -- <br /> � Inspectors Signature-.� "`--=-- --------- <br /> f`iemises Inspected: <br />` Typc of Ruilding ar piuper�y <br /> i <br /> Lac�ttion or Address ( }'� �� a� �7�r ��� )=''C( .. <br /> - --- � -- r - -- -- -- --� - - - -- - - i <br /> --- --- --_. .._— ----- ;-� <br /> Itcn�ylns�n:rt�;d: G.,,�l,.��� �, �.+��� �-D <br /> -y i � \ � '� ' � � <br /> I <br /> � Itt nt �'�pp�!ai�,�g U i�:cd oddltional inq�-:iinn�. _ _ �. __. . . ..____ � <br /> � ,in uttendonca on thu Premises, <br /> cr.rtify ihat the above inspection was made. <br /> Siynawrc <br /> Fo�m No.424-001 .� <br /> � <br />