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e <br />t <br />`l'`' � 5628 <br />everett THE EVERGREEN <br />CITY OFF <br />everert DATE�e <br />CITY HAIL • EVERETT CITY OF EVERETT <br />WASHINGTON 9e201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering _ <br />(Ct <br />Building Plumbing' -�� lE-1 <br />T <br />Inspectors Signature •�•� ' " "T�—" <br />Premises Inspected: 4; i <br />Type of building or property r <br />Location or Address���, <br />Items Inspected;„� i,_ � _ '7 p/ t-�-n �� I b 0/f— <br />Items appearing to need additional inspection: <br />Ji,:r <br />r <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />/ I <br />i <br />Signature <br />;i <br />ii <br />Form Np,'424-001 M <br />