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everett 5095 <br />THE EVERGREEN <br />CITY OF <br />everett DATE %� --= 7/ _ <br />CITY HAU • EVERETf CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbin <br />Inspectors Signature O <br />�LL <br />Premises Inspected: / <br />Type of Building or property <br />I �y <br />Locationt or Address C15o ej U,IrC . <br />Items Inspected: <br />Items appeal ing to geed ditional i pection: <br />atte dance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 9 <br />R <br />