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everett THE EVERGREEN 5397 <br />CITY OF <br />Le everett DATE �Z�� 7 <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing G Engineering / <br />Building Plumbing <br />Inspectors Signature �Z—t-/`^Ci—� <br />Premises Inspected: <br />Type of Building or property / <br />Location or Address �00 t-P LAJe-�X <br />Items Inspected: <br />Items appearing to need additio I inspection: �1 <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signat re 7 <br />Form No. 424- 001 X <br />