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eve-rett 7438 <br />THE EVERGREEN <br />CITY OF <br />` DATE <br />everett <br />,,e CIN HALL • EVERE17 CITY OF EVERETT <br />IASHINGTON 9e201 <br />INSPECTION REPORT <br />i <br />Inspecting Department: <br />License Electrical _—._ Weights & Meas. <br />I <br />Fire __ Housing Engineerinq <br />Building �,Plummbbiing <br />Inspectors Signature — Z.L' - <br />I <br />Premises!nspected: <br />Type o! Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />in attendance on the Premises. <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 <br />im <br />