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everett <br />Inspecting Department <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVENtr <br />WASHINGTON 98201 <br />5226 <br />DATE Z/ — <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical TV Weights & Maas. <br />Fire Housing Engineering <br />Building -- Plumbing <br />Inspectors Signature <br />--- <br />Premises Inspected: <br />Type of Building or property <br />Location or Address Z(. 3 u <br />Iterr s Inspected: i^ •'''� <br />r c I — <br />Itemsappe n nee_ cl additional inspection:. h� / % <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 30 <br />