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everett <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY H111t • EVERITT <br />WASHINGTON 99001 <br />2 30i <br />DATE. J ' / -A1 <br />CITY OF EVEREl,r <br />INSPECTION REPn't1- <br />Inspecting Department: <br />License __ Electrical Weights& mr,as. ._ <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: �7 <br />Type of Building or property .f "� �c- r C 11 M „cj• t• N't F <br />Location or Address 3 f T <br />— r- <br />Items Inspected: /,n e ''' j P �G ttl �. /"r J� L J �r Li ! <br />Test rYsJ � /� <br />Items appearing to need additional inslrctinn <br />I <br />of ttendance on the Nemises, <br />certify that the above inspectionwas made. -/ <br />i r <br />.iI )Ill It III I• <br />