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everett THE EVERGREEN <br />CITY OF <br />Le everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />3352 <br />DATE— - <br />/114/—/ <br />CITY OFEVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Itemslnspected: C—,L7''e% &J-;,W <br />Items appearing to need additional inspection <br />I, v "^ / ��`""r , in attendance on the Premises, <br />certify that the above inspection was made. <br />i <br />i <br />Signature <br />Form No. 424-001 M <br />9 <br />