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everett THE EVERGREEN 4386 <br />CITY OF <br />everett DATE-_t,,e � z <br />CIIV HALL • EVEREU CITY OF EVERETT <br />WASHINGTON 9e201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License -- <br />Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building <br />lumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property S.F. w F 1 ft,5 <br />Location or Address 4-t I Fr-b '=MA t" _ <br />Items Inspected: crt"C'R-k ST2`-teZ"tRv� <br />Items appearing to need additional inspection' <br />cor-t'liac"(E-� <br />r,iLS. >,E A� vA.tiUC�. A' `.. <br />C. 1L0 C-C Ryi MCL'.. S-rA,i`i] Tr4A-T T�-t'�."�I <br />w82� Tt�yLwtL� TG 5.��� tea-GPERZy ••As 1S <br />C-.A ft_E-,flutt_atw.t is Lr- %-( is",( toLD, <br />in attendance on the Premises, <br />testify that the above inspection was made. <br />Signature <br />Form No. 424-001 :� <br />