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everett <br />�e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />' Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housirig Engineering <br />Building Plumbing <br />Inspectors Signature -'r/�- i�—d�✓� <br />Premises Inspected: <br />i <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appeann o need ddrtional inspection: <br />��% <br />1 <br />�-L"I��In attends eon the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 X <br />