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everettLe <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAn. • EVERETT <br />WASHINGTON 9e201 <br />5365 <br />DATE — <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electrical Weights & Me-:,' <br />Fire Housing — Engine <br />erin <br />1 /Gib <br />Building Plumbing <br />Inspectors Signature - <br />Premises Inspected: <br />Type of Building or property <br />Location or Address �N-✓` <br />r'- <br />S5 3� rW 4 9 .S <br />Items Inspected: � li <br />It z L- 'P�C'`"'� r <br />71 �"1j a—X& <br />Items appearing to need additional inspection: <br />1 _ , in attendance on the Premises, <br />certify that the above inspection was made. <br />- Signature <br />Farm No. 424-001 W <br />a <br />