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everett THE EVERGREEN <br />CITY OF <br />everet[ <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />DATE 1Z—/7— 71 <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />- Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />v i <br />Premises Inspected: <br />IType of Building or property '#e I l i <br />Location or Address <br />I;,— G �Jt <br />Items Inspected: <br />Items appearing to need additional inspection: <br />I <br />I, —tom , in attendance on the Premises, <br />certify that the Cabo, was made. <br />i <br />�Tw <br />Signature _ I <br />Form No. 424-001 Z <br />c <br />