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3251 <br />everett THE EVERGREEN <br />CITY OF � <br />$t DATE —l/ <br />evere <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />i <br />Inspecting Department: <br />1 i License Electrical `�--l-=-'— Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />' Premises Inspected: <br />Type of Building or property <br />J 2 6 �) <br />Location or Address i � 9- <br />Items Inspected: ,,) <br />Items appe 11 to need addi tonal inspectiO e' <br />i <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />,T <br />Signature / <br />Form No. 424-001 .T)` �/�7`- <br />