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everett <br />,e� <br />Inspecting Department: <br />License <br />Fire <br />Building <br />Inspectors Signature _ <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALE • EVE9En <br />WA5HINGTON 98201 <br />7203 <br />, <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights & Meas <br />Housing Engineering <br />Plumbing <br />v L? <br />Premises Inspected: <br />Type of Building or property <br />Location or Address ,- <br />Items Inspected: , <br />Items appearing to -.eed additional inspection: <br />tr— , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No, 424-001 M <br />