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everett <br />Inspecting Department: <br />(JJ <br />THE EVERGREEN / <br />CITY OF <br />DATE <br />everett <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 9e101 <br />INSPECTION REPORT <br />License Electrical Weights & Meas <br />Fire Housing Engineering <br />Building Plumbing <br />i <br />Inspectors Signature t <br />Premises Inspected: <br />Type of Building or property <br />Location or Address �2 7 <br />Items Inspected: / e <br />f%9-r-�cV�o`.�-..-Lr > �-Gem✓ d <br />Items appearing to need additional inspection: <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 J <br />