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evereti <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY MALT • t'1101" <br />WASHINGTON 9E201 <br />Inspecting Dep;vtment: <br />License Electrical <br />Fire Housing <br />Building y Plumbing <br />Inspectors Signature <br />i <br />628 <br />DATE ^ !y —_ <br />CITY OF EVERETT <br />INSPECTION kEPORT <br />Weights & Meas. <br />Engineering <br />i <br />Premises Inspected: <br />Type of Huilding or propertyp*'�'�''�'� <br />JJ <br />Location or Address x 5 <br />Items Inspected:j,.OA <br />iODyb Al <br />Items appearing to need additional <br />inspection: -- <br />I, —------__ , in attendance on the Premises, <br />ctrtify that the above inspection was male. <br />Signature <br />F.,.,, Na 4�4 e0l <br />