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everett THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL - EVERETT <br />W ASHINGTON 98201 <br />3076 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />1 <br />Building Plumbing <br />Inspectors Signature <br />0 <br />Premises Inspected:"" <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional nspection: <br />I, C'1'D �1�4c..-�— , in attendance on the Premises, <br />certify that the above inspection was made. p <br />Signature <br />Form No. 424-001 ., <br />