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4182 � <br />everett THE EVERGREEN <br />CITY OF <br />T— 2 j <br />DATE <br />everett <br />CITY HALE • EVERETr <br />CITY OF EVERETT <br />�e WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />I <br />License F.I_ctrical — Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature — — —' <br />Ll <br />Premises Inspected: <br />�A' �Cdl��i ah% <br />Type of Building or property <br />! Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />J <br />� I attendance on the Premises, <br />certify that the above inspection was matte. <br />Signature <br />Form No.424-e01 .T <br />