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THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVERUT <br />WASHINGTON 98201 <br />Insdecting Department: <br />License Electrical <br />Fire Housing ._ <br />Building _��Plumbing V <br />Inspectors Signature o"—> Kee — <br />3605 <br />DATE 2J/� <br />CITY OF EVERETT <br />INSPECTION REPOR, <br />Weights & Meas. <br />Engineering <br />Premises Inspected: A <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />1,_ IT tendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424- 001 J <br />