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evereYc 4399 <br />THE EVERGREEN <br />CITY OF <br />everett DATE�e 4 1 cj'1 Z <br />CITY HALL • EVEREtt CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electr;cal __ Weights & Meas. <br />Fire Housing x Engineering <br />Building -- Plumbing <br />Inspectors Signature — (24 x -f <br />Premises Inspected: <br />Type of Building or property S.F. Imo• lti.e— <br />Location or Address (Z,3 (-{J"1'j <br />µYper" <br />Items Inspected: `t—t _f t fcw— P4%) -A tE — F;tor-+"( - <br />QA c tL <br />t,o�IrcL Saf] , H...v`� �.�.�.A`t1d�Zl•TC2tPPle—tG., ct-•s� <br />s•t.arit <br />CO_CAL1 t`*tStrrtF•. vEfY-r"t't�•E tDLi] .vA'-tt(C <br />�� <br />Y1_fcE-c-" co n4'fAC-t� rnIL <o"1-AgSL- <br />MRof-1 <br />Items appearing to need aovitional inspection: OE�Z <br />aAfZ-ram PRDP`fZ ty t-tAr AL Er•t� �"( <br />I <br />..; s-s0 tAr f1 �Ir`, w�vtl fl. c-O N't Act K11 -s, r4'i <br />�M <br />47 <br />in attendance on the Premises, <br />certify that the above !nspection was made. <br />Signature <br />Form Na. 424-001 X <br />