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M <br />ev�' 55�7 <br />eft THE EVERGREEN <br />CITY OF <br />everett DATE <br />CITY HAIL • EVERE17 CITY OF EVERETr <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department <br />License _— Electrical Weights & Meas. <br />Fire Housing __ Engineering <br />I <br />Building Plumbing <br />Inspectors Signature �4 <br />Premises Inspected: <br />Type of Building or proourty <br />Location or Address 37 o<1 /4/v 7 <br />ItemsInspe�ted: �77e)R�-v'7� <br />Items appearing to need additional inspection: <br />1 , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature'�'/j%%� e <br />form No. 424-001 Bl <br />4111 <br />111 <br />