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everett <br />�e <br />Inspecting Department <br />THE EVERGREEN <br />CITY OF <br />everett <br />CItY HALL • EVERETT <br />WASHINGTON 99201 <br />3615 <br />DATE <br />—2��) / <br />CITY OF EVERETT <br />INSPECTION REPORT <br />U <br />License electrical Weights & Meas. <br />Fire Housing Engineering <br />Building -- lurnbin <br />Inspectors Signature<Lte! — <br />1 <br />Premises Inspected: ✓ <br />Type of Building or property IXn <br />i <br />Location or Address <br />Items Inspected: L�l�' <br />Items appearing to need additional inspection: <br />r <br />in atten1ce on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Farm No. 424-001 Z <br />