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everett 3950 <br />THE EVERGREEN <br />CITY OF [/ J <br />everett DATE / I <br />,e CIrY HAIL • EVERETi CITY OF EVERETT <br />WASHINGTON 98207 <br />INSPECTION REPORT <br />Inspecting Department: <br />License -- Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building �umbing — <br />1 <br />Inspectors Signature_'_._ <br />Premises Inspected: A C°O <br />Type of Building or property (� t4, L L,,, <br />Location or Address <br />Items Inspected <br />Items appearing to need additional inspection: <br />I,. _ , in attendance on the Premises, <br />certify that the above insnection was made. <br />Signature <br />Form No. 424-001 .� <br />