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everett I THE EVERGREEN <br />CITY OF <br />ej everett <br />CITY HALL • EVERETT <br />WASHINGTON 9B101 <br />Inspecting Department: <br />License Electrical <br />Fire _ Housing <br />Building .Plumbing <br />Inspectors Signature -- <br />Premises Inspected: .- - <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />301 <br />DAiE__-- <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas. <br />Engineering <br />in attendance on the Premises, <br />I, <br />certify that the above inspection was made. <br />Signature _—_--- <br />Form No. 424-001 :Y� <br />