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V� <br />everett 5020 <br />THE EVERGREEN <br />CITY OF <br />everett DATE L(J — III %I <br />�e CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building �— Plumbing <br />Inspectors Signature <br />Premises Inspected: f-4..eLC-g <br />Type of Building or property a 4z--;;! <br />Location or Address <br />% C <br />Items Inspected: v7 e-r�v' <br />Items appearing to need additional inspection: —T <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatu' '( <br />Form No. 424-001 Z <br />