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everett THE EVERGREEN 5460 <br />CITY OF / 77 <br />everett DATE_ <br />,..e <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: 7 <br />License Electrical / (i/ 427� Weights& Meas. <br />Fire Housing _ Engineering <br />Building Plumbing <br />InspectorsSignature ,. <br />Premises Inspected: (I4ce I tp S ..7 (k1?0 6 p <br />� <br />Type of Building or property CL ct <br />Location or Address 9�26 4tC-/ S <br />Items Inspected <br />Items ap&aring to need additi9nal inspect' <br />C� <br />I• , in attendance on the Premises, <br />certify that the above inspection was made. <br />i <br />i <br />Signature <br />Y <br />F4 ,�sr Form No. 424-001 .� <br />