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everett <br />�e <br />Inspecting Department: <br />License <br />ire <br />Building <br />i <br />Inspectors Signature <br />Signature, <br />THE EVERGREEN <br />CITY OF <br />DATE__— <br />everett <br />_-- <br />CItY HALL • E/ERELI <br />CITY OF EVERETI <br />WASHINGTON 99101 <br />INSPECTION hEPORT <br />Electrical <br />Weights & Meas. <br />Housing /� <br />Engineering -- <br />Premises inspected: I <br />c 1 /% <br />ey <br />Type of Building or property <br />Location or Address <br />Items Inspect <br />Items appearing to need additional ins ction: <br />1 _ J <br />�� <br />nM� <br />Ir tiond..inro on the Premises. <br />certify that the above inspection was mane. <br />Signature _ <br />Fnno 11 , 414-001 u7 <br />