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everett 5258 <br />THE EVERGREEN <br />CITY OF <br />everett DATE `S7 <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weights&Meas. <br />Fire Housing Engineering <br />Building —be— lm ing <br />Imr_rtors Signature <br />1 <br />Premises Inspected: <br />Type of Suilding or property <br />Location or Address "� / I l! <br />Items Inspected: <br />Items appearing to needpUditional <br />at� dance on the Premises, <br />certify that the above inspection was made. <br />Signai e Z <br />Form No.424-001 30 <br />