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everett THE EVERGREEN 1028 <br />CITY OF <br />everett DATE .,-— 7� <br />CRY HALL • EVEREIT CITY OF EVERETT <br />WASHINGTON 99101 <br />INSPECTION REPORT <br />Inspecting Department: <br />License E`ectrical %v�ypeights & Meas. <br />Fire Housing <br />1.. 9 Engineering <br />Building Plumbing <br />- Inspectors Signature <br />ICU�reC'l — - <br />- Premises Inspected: .` L K. ( � <br />Type of Building or property <br />Location or Address <br />- a.- - - Items Inspected: / Ln <br />Items appearing to need additional <br />i <br />Ad, o u � � <br />%�a�.�_, in attendance on the Premises, <br />certify that the above inspection was made. <br />i <br />Form No.424-001 ,U7 <br />