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everett THE EVERGREEN <br />CITY OF <br />Le everett <br />CITY HALL - EVEPErr <br />WABHINGION 98201 <br />1117 <br />DATE 7— <br />CITY OF EVERETT f <br />INSPECTION REPORT <br />j <br />Inspecting Department: <br />Electrical Weights & Meas. <br />License --- <br />i Fire <br />Housing Engineering <br />i <br />- - Plumbing (.�t1 <br />Building <br />r <br />- Inspectors Signattiro <br />n r✓�'_�'. .. . <br />Premises Inspected: <br />Type of Building or property <br />Location or Address .%8��I' <br />Items Inspected:. /` ! c-r Y/ O C j,u_.•- ,� <br />Items appearing to need additional inspection: <br />b�- <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature - <br />f o.m No. 424-001 _. <br />