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everett THE EVERGREEN <br />CITY OF <br />Le everett <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />Inspecting Department <br />17 3' <br />DATE/ ?! <br />CITY OF EVERETi <br />INSPECTION REPORT <br />d <br />License Electrical Weights Pi Meas <br />Fire Housing Engines-,' g <br />Building Plumbing , <br />r - .. <br />Inspectors Signature r <br />Premises Inspected: <br />Type of Building or property <br />Location or Address L-1S <br />Items Inspected: /L '• Q _ - ^I �,j, / !'rj r� �_��„ ✓ -4�., <br />Itogs appearing to need additional inspection: <br />I <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatun: <br />Form No. 424-001 Z <br />