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E'vereff THE EVERGREEN 2248 <br />CITY OF <br />everett DATE <br />ctrr 1du • EVERE17 CITY OF EVERETT <br />Wks HIN6rON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature —_L72_De_/I�� <br />I <br />Premises Inspected: 0. q�A <br />Type of Building or pt operty <br />Location or Address f <br />Items Inspected: <br />Items appearing l� - to need additional "inspection: / /1; ClyV4'iL Y(I lam`✓ ylL 4(JJ ..e (/C4 K H �" <br />Cie in. Y6 r. <br />d k <br />�.' w � ct 'kC.• 3�, �� 5 . <br />I•-------_______ , ir, attendance on the Promises, <br />certify that the above inspection was made, <br />SignatureXCCT <br />Farm No 424 001 _0 <br />