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THE EVERGREEN <br />CITY OF <br />everett <br />CIrY HAIL • EVERETT <br />WASHINGTON 98201 <br />4313 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing y Engineering <br />Building Plumbing �1 <br />Inspectors Signature 40, ( �"r <br />Premises Inspected: <br />Type of Building or property <br />Location or Address ( 1/5� <br />Items Inspected:.444A) <br />Aa fNo---, Is" G••G-u.t.. <br />Items appearing to need additional inspectior. <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatw 1: <br />Form No. 424-001 X <br />