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v <br />MI <br />everett 5839 <br />THE EVERGREEN <br />CITY OF <br />Le everett DATE // 7/ <br />CITY HAIL • 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 �c 7•"� <br />Inspectors Signature �� 6D, <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: Vl r O J ��e C <br />Items appearing to need additional inspection <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 M <br />