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E <br />THE EVERGREEN <br />CITY OF <br />everett <br />[ITV HAIL • EVERETT <br />WASHINGTON 98201 <br />5359 <br />DATE / IJ T/ <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 />Premises Inspected: ` <br />Type of Building or property <br />Location or Address <br />Items Inspected: -e , <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />I <br />Signature <br />Form No. 424-001 W <br />s <br />