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everett <br />,,e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAU. • EVERETT <br />WASHINGTON 9e201 <br />3835 i <br />DATES/�/�� <br />CITY OF EVERETT <br />INSPECTION REPORT <br />l <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature.�E� <br />Premises Inspected: v'r� <br />Type of Building or property <br />Location or Address `J S 6 6 <br />Items Inspected: -4? <br />Items appearing to need additional inspection: <br />1• �'�K • Ina tendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Fonn No. 424— 001 7 <br />