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everett <br />�,e� <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVEPEtT <br />WASHINGTON 911701 <br />3812 <br />DATE F/.10 ( <br />CITY OF ElVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering _ <br />Building /aPluum+bingg'� <br />Inspectors Signature �` `y-�'✓r�"" f!!- — <br />Premises Inspected: <br />Type of Building or property <br />i <br />Location or Address P5 Cvy� j <br />Items Inspected: <br />i <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />cert::y that the above inspection was made. <br />Signature <br />Form No. 424-001 y] <br />