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THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />Inspecting Department <br />License <br />Electrical <br />Fire <br />Housing <br />Building <br />Plumbing <br />Inspectors Signature <br />/'✓�'l� <br />5531 <br />DATE /Z-- 3 — —7I <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas. <br />Engineering <br />Premises Inspected: <br />Type of Building or property < " <br />Location or Address <br />Items Inspected: ✓��//,L� �..� <br />Q .' \ , <br />Items appearing to need additional inspection: <br />v <br />I , in attendance on the Premises, <br />certify that the above inspection was made. <br />I <br />Signatuiri5o�� <br />Form No. 424-001 27 <br />'IffFMM=rr W"M&- <br />