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everett <br />5160 <br />THE EVERGREEN <br />CITY OF <br />everett <br />DATE <br />CITY Hutt • EVERETT <br />•..ITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical VJaights & Meas. _ <br />Fire Housing Engineering _ <br />Building C' Plumbing <br />r/f <br />Inspectors Signature <br />i <br />Premises Inspected: A-. e0q / y <br />i <br />Type of Building or property�� • T <br />i <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection <br />I <br />in attendance on the Premises, <br />certify that the above inspection was made. ! <br />Signaturc� }ab —wA -- <br />FForrnn No. 424--00T .J <br />