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Inspecting Department: <br />License <br />Fire <br />Building !/ <br />Inspectors Signature <br />THE EVERGREEN <br />CITY OF <br />t <br />evprett <br />Cm` HAV • EVEGE" <br />WASHI"3tON 98201 <br />4913 <br />DATE -tT -2,1 <br />OF EVERETT <br />INSPECTION REPORT <br />Electrical [Neigh is & Meas. <br />Housing Engineering <br />Plumbing <br />Pmmi.Ies Inspected: /ls. 6. /p <br />Type of Building or property Al�x ll�jj�2 <br />Location or Address �{� •1 t� / <br />Items Inspected: <br />cv <br />Items appearing to need additional inspe , I <br />rR of i/74-T� <br />h-- in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />=J-L___ <br />Fgnn No. 424�424-00t W <br />