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everett 6096 <br />THE EVERGREEN <br />CITY OF <br />DATE <br />everett <br />--- <br />,e ury Hut • EVEN[r1 CITY OF EVEPETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical _ Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing�X <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Itemslnsoected:� r'Cer,rr Tn �•` (`� 'S�� .rr <br />r, <br />Items appearing to need additional inspection <br />1 _ , in attendance on the Premise:, <br />certi. / that the above inspection was made. <br />Signature <br />Form No 424-001 <br />