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THE EVERGREEN 3772 <br />CITY OF (� <br />everett DATE 1J_J' -7 / <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical' a Weights & Meas. <br />Fire Housing Engineering <br />Building P lmbing _ <br />Inspectors Signature <br />7 i <br />Premises inspected: <br />Type of Building or property <br />Location or Address fl <br />Lk/ <br />Items Inspected: <br />Items appearing <br />need addjtional�inspection: <br />1, _ , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Farm No. 424-001 M <br />