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everett <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 982e1 <br />4489 <br />DATE / / <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />f[—tiLf' L <br />Building Plumbing %fV <br />� I <br />Inspectors Signature �rC'-'-` <br />Premises Inspected:j,/`i% <br />I <br />Type of Building or property <br />Location or Address / 0f^.. <br />Items Inspected: / Y If✓ C/--' C iti '.� a - fJ a /'y 4 r%1. <br />M O /'k <br />I temS.apoepring to need adqitioinspection: /�Z- <br />1 �9 in attendance on the Premises, <br />certify that the above inspection was made. <br />Sig a -- -- <br />