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Ieverett THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVERETT <br />�e�I WASHINGTON 98201 <br />Impacting Department <br />7903 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical Weights & Meas. <br />Fire Housing �^ Engineerin <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected/ <br />Items appearing to need additional inspection: <br />1 d-vV r <br />y C��-'''"^' % / . in Yttendare nce o the Pmises, i <br />certify that the above inspection was made, i <br />Signature <br />Form No. 424-001 J <br />