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everetl <br />,,e <br />THE EVERGREEN <br />CITY OF <br />everett <br />aTr wtu • EVEEE❑ <br />WASHINGTON 96701 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Depar onent <br />License Electrical (I-a-� Weights& Meas. <br />Fire Housing Engineering <br />Building Plumbing D <br />I Inspectors Signature - <br />Premises Inspected: / ) I t-) - 6"""'Oe-A"' <br />Type of Building or property <br />7/ Location or Address <br />Items Inspected: /1 -,��Lt. <br />Ilem• iopearing to need additional inspection. <br />I•--__1/ --- -- __ ... , in dtiendw,cc in the Pnmi>es, <br />certify that the above insfxclion was made. <br />Sign.tturc <br />r,11-11 N., n;n 001 " <br />