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everett -,;!E EVERGREEN 6 <br />CITY OF q <br />everett DATE-7) <br />CITY HAIL • EVERETT CITY OF EVERETT <br />,,e WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weiahts & Meas. <br />Fire Housing Engineering <br />Building <br />Plumbing //'�'9 V <br />y <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />__ <br />Location or Ad''�ess <br />Items Inspected: f'*1 01 <br />Items appearing to need additional inspection: <br />L/,a M <br />I �� b /N / ✓ 1'� [� , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />•+ Form No. 424-001 <br />