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916 <br />everett THE EVERGREEN <br />CITY or <br />DATE 2— 1— 21 - <br />everett <br />CITY HALL • EVERETT CITY OF EVERETT <br />w ASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: License V1 <br />Electrical L'_k1- Weights&Meas. <br />Housing Engineering <br />Fire <br />Building Plumbing <br />i�o-uc;Zy <br />Inspectors Signature --T <br />Premises Inspected: <br />Type of Building or property <br />. _ Location or Address C). <br />_ - Items Inspected: —/IqC. <br />Items appearing to need additional inspection: <br />� <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424—e01 :P7 <br />