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ev�rett <br />THEEVERGREEN <br />CITY OF <br />everett <br />CITV HA�� • EVEREiT <br />wasniNcron os+oi <br />Insp^cting Department: <br />License Electrical <br />Fire Housing <br />Building Plumbing <br />Insper.tors Signaturr. �J i J <br />Y <br />576� <br />DATE � �. � � .--_-- <br />CITY OF EVERETT <br />INSPECfION REPORT <br />Weights & P.'c:is. <br />Engine ing <br />� � % O G <br />Premises Inspected: <br />Type of Building or property <br />location or Address �j {" � ,; -�, � r _,' '� � <br />�:'"l�� <br />Itemslnspected: �� �`�;,� -r; �vU l� 1 pv �� �j <br />Items appearing to need additional inspection: <br />• , in attendance on the Premises, <br />certify that the a6ove inspection was made. <br />Signature <br />f-o�m No. A�A--0Ot "� <br />