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everett 6189 <br />THE EVERGREEN <br />CITY OF 7 <br />everett DATE,.e 3 <br />CITY HALL • EVERETi CITY OF EVERETT <br />WASHINGTON 99101 <br />INSPECTION REPORT <br />Inspecting Department: LJ <br />License Electrical `2 Weights& Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected:.C.t„�(+�—� <br />Type of Building or property <br />Location orAddre.•s�p_�__L�� - <br />Items Inspected: A/ Cam, �.,.,�. ,,.,� .L�r�r4•y ��"'`'� <br />� ff <br />Items appearing to need Oditional inspection: <br />e <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Fa,m No. 434-001 W <br />q <br />