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everett <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 99201 <br />2919 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License __ Electrical Weights &Meas. <br />Fire Housing Engineering <br />Building y� P/llumhiiing y �3 <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property Q-1--r— <br />Location or Address I's 0 6 /7 (,•w�-i` <br />Items Inspected: <br />Items appearing to need additional inspection: <br />In attendance on the Premises, <br />certify that the above inspection was made. <br />Signatur -. <br />Fo m No. 424-001 :Yi <br />