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everett <br />�e <br />Inspecting Department <br />91_ 5 <br />THE EVERGREEN <br />CITY OF <br />evereft DATE <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />License Electrical `1"t"0' Weights & Meas. <br />Fire Housing Engineering <br />Building Plluumbbiing�(��t�..-�, <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address -17-.2��ut-A; <br />Items Inspected: ire , �-r ��L4 <br />Items appo�ar(ng to need additional inspection: <br />I �_pn,(___G. , in attendance on the Premises, <br />certify that the a ove Inspection was made. <br />Signature <br />Form No. 424-001 <br />