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L j <br />Inspecting Department: <br />5_ <br />THE EVERGREEN i.82 <br />CITY OF <br />everetf DATE <br />CITY HALL • EVERETT CITY OF EVER ETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />m <br />License Electrical Weights & Meas. <br />Fire Housing r-;;di..c—ing <br />Building L Plumbing <br />i <br />Inspectors Signature— z—._l/1,_L'e��%.>' <br />Premises Inspected: <br />Type of Building or property 4:1� <br />Location or Address <br />Items Inspected: y � ✓ D <br />Itemg ne ad�+A �spectlo,: <br />C/- <br />I I• , in atifenclance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424--001 ,1�' <br />