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everett THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />966 <br />DATE `, Ib` �i <br />CITY OFEVERETT <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weights & Meas. <br />Fire Housing O Engineering <br />Building Plumbing3 y y <br />Inspectors Signature. 1�7C5'd �� ✓/'�/ <br />Premises Inspected: /J^ <br />� <br />Type of Building or property <br />Location or Address <br />Items Inspected: "" G 6Af o-r ����' C� /!It' G �D <br />Items appearing to need acloiowLinytion <br />en- �r <br />17 `- O /' r /7 <br />I, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 X <br />