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A <br />everett THE EVERGREEN <br />CITY OF <br />Le everett <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />7?6 <br />DATE Z- 3?/ <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building PI lm <br />Inspectors Signature _�--lf--4 <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 60 <br />Items Inspected: 61.1jt4 �. <br />a O-ZI �.ze <br />Item ocearino to need additional i V, <br />I, _ , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .9 <br />0 <br />