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— —I <br />everett 6972 <br />THE EVERGREEN <br />CITY OF ' <br />everett DATE 0 7,e v <br />CITY HAIL • EVERETr CITY OF EVERETT <br />WASHINGTON 9e201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical <br />Fire Housing <br />r <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 'e owl Q 64-&� <br />Items Inspected: <br />Items appearing to need additional inspection: <br />adi <br />Weights & Meas. <br />Engineering <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature Z , <br />Form No. 424-001 M <br />