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everett THE EVERGREEN 1637 <br />CITY OF <br />i <br />evereft DATE�� 7 <br />CITY HAIL • EVEFEn CITY OF EVERETT <br />WASHING70N 98201 <br />' INSPECTION REPORT <br />Inspecting Department: <br />License Electrical u Weights & Meas. <br />Fire - Housing Engineering <br />Building Plumbing <br />Inspectors Signature. _ <br />�I Premises Inspected: <br />! Type of Building or property <br />Location or Address /� Z-7t <br />Items Inspected: <br />i <br />Items appearing to need additional inspection: <br />UI' <br />in attendance on the Premises, i <br />- certi that the above inspection was made. <br />L <br />t <br />Signature -- <br />Form No. 424-001 :Y7 <br />