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everett 1 1 31 <br />THE EVERGREEN <br />CITY OF <br />everett DATE <br />CITY HAIL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engim .:ring <br />Building - Plumbing .4 — <br />Inspectors Sig ature 4 (21-2n +'-"<'_ <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 1131 f � �..f/ <br />_ (n•��,. _ <br />Items Inspected: Y 1ti e �,,,,'f t,.J ,h- / / d A, CLI <br />Items appearing to need additional inspection <br />1, _ , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />F.rm N. 424-001 .- <br />4 <br />AM" <br />