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everett THE EVERGREEN <br />CITY OF <br />everett <br />,,e CITY HAIL • ' VERETt <br />WASHINGTON 98201 <br />Inspecting Department <br />6916 <br />i <br />DATE , Z_ <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical Weights & Meas. <br />Fire _ Housing Engineerin <br />Building _._ Plumbing/ �( G <br />Inspectors Signature 'd� G��— <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need add+tional inspection: <br />1 , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .� <br />