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everett THE EVERGREEN <br />CITY OF <br />everrett <br />CITY HAIL • EVERETT <br />W ASHINGTON 98201 <br />5 111 08 <br />DATE / ! — � 7! <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License ___ Electrical Weights& Meas. <br />Fire Housing —_ Engineering <br />Building Plumbing <br />Inspectors Signature 404ea-Z d7fflz�J�2 <br />Premises Inspected: <br />Type ofBuildintorproperty <br />Location or Address <br />Items Inspected: �— <br />i / <br />Items a%%nn" aring to need additional inspection: <br />6" l <br />1 <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signaturtfi'f1 °.gyp � „. .,c:s. <br />Form No. 424-001 0 <br />