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everett <br />Le <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical 'Weights & Meas. <br />Fire Housing Engineering <br />�- <br />Building Plumbing <br />Inspectors Signature 'Y") ) <br />I <br />Premises Inspected: <br />Type of Building or property <br />Location or Address-;;�/�% <br />Items Inspected: <br />Items -ppearing to need additional inspection: <br />I. ;/ Jj C. <br />9 <br />I, , in attendance on the Premises, - <br />certify that the above inspection was made. <br />Signature <br />`� Form No. 424-001 .p7 <br />