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eve -en <br />�.e <br />THE EVERGRLEf1' <br />CITY OF <br />everett <br />C1r1' HALL • EVERER <br />WASHINGTON 98201 <br />581? <br />DATE <br />CITY OF LJERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing _ Engineering <br />Building Plumbing <br />Inspectors Signature _ J�-f-y-G:: • r -. <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />items Inspnected <br />Items appearing to need additional inspection: <br />I, _____ , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 <br />