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everett <br />�,e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 99201 <br />676 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electrical <br />- Weights & Meas. <br />Fire <br />Housing <br />Engineering <br />Building <br />Plumbing <br />`' <br />— L� <br />Inspectors Signature <br />n� <br />ci <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />is— 4-4 <br />Items Inspected: �\ <br />a <br />to nee4 additional inspection: <br />in attendance on the Premises, <br />certify that the above inf4ction was made. <br />Signature <br />Farm No. 424-001 2:7 <br />