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L <br />THE EVERGREEN <br />CITY OF <br />evereft <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />G <br />2427 <br />DATE 4�P/2 J /7� <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />T <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building —:�— PI nbing <br />Inspectors Signature <br />c�i�tr C'/1 «- <br />Premises Inspected: <br />Type of Building or property <br />Location or Address7 O v <br />i Loca <br />'i Items suspected: <br />i <br />Items appearing to need additional inspection: <br />1 , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature _ <br />Form No. 424-001 JV <br />