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L THE EVERGREEN 2 7 `9 <br />l" <br />CITY OF / <br />everett DATE — <br />CITY Hilt • EVEEErr <br />WASH-NGToN 9e20t CITY OF EVERETT <br />INSPErTION REPORT <br />Inspecting Department: <br />License Electrical L <br />Weights & Meas. <br />Fire ---- <br />Housing Engineering _ <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: - <br />I:.. -Type of Building or property <br />Location or Address I <br />Items Inspected: 7 �/ L• QJ•{ =-_ <br />Items appear, —� e. q nEed Z, <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Forrn rio. 4]4-001 V7 <br />