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v� <br />everett THE EVERGREEN 4 910 <br />CITY OF <br />everett DATE"7 j <br />CITY Hatt • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature.. —,0 <br />Premises Inspected: <br />I <br />I <br />Type of Building or property " flll <br />'7 O U(. <br />Location or Address <br />i <br />Items Inspected: <br />1 <br />Items appearing to need additional inspection <br />r <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature44 <br />ki <br />Farm No. 424-001 .tW <br />