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everett THE EVERGREEN 5494 <br />CITY OF <br />everett DATE _ 4 _� — 4 <br />CITY HALE • EVERETT CITY OF EVERETT <br />WASHINGTON 9e201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical`•eights & Meas. <br />Fire Housing Engineering <br />Building __Z7 Plumbing — <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or AddressTkv-' <br />Items Inspected: <br />S <br />Items <br />to need additional inspection: <br />L: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />m <br />Signatur <br />�r— <br />Form No 424-001 X <br />