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everett <br />� <br />Irspecting DeU�rtmenC <br />Licensc <br />Fire <br />Building __ <br />Inspectors Signature _ <br />THEEVERGREEN <br />� CITY OF <br />everett <br />CITV HAIt • EVEREiT <br />WASHINGTON 98i01 <br />Electrical <br />Housing _ <br />Plu bin9 <br />�zc,t�-L� <br />Premises Inspected: <br />Type of Building or properry <br />Location o� Address '— j S tJ <br />I[ems Inspected: � <br />��� -�-' <br />Items ap�xariny to nced additional inspection: <br />� <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas. <br />Enyineering <br />— 3 3 �� �-�� _ <br />%/" ' J"'`'" <br />, �f��:-Lr�'v-� <br />, in attendance on the Premises, <br />certify that the above inspection �vas made. <br />U <br />Siynaturc <br />Form No.424-001 � <br />0 <br />� <br />� <br />