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1676 <br />everett <br />THE EVERGREEN <br />CITY OF <br />(J <br />everett <br />DATE _�� ` <br />CITY HAIL • EVEREIT <br />CITY OF EVERETT <br />WASHINGTON 98201 <br />I <br />INSPECTION REPORT <br />i <br />Inspecting Department: <br />License <br />Electrical <br />Weights& Meas. <br />Fire <br />Housing <br />Engineering <br />Building <br />Plumbing <br />Inspectors Signature <br />— <br />Inspected:-`'"�"� <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />` <br />-4! Z <br />/J <br />Items Inspected: <br />Items appearing to need additional <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .1/ <br />