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everett 8051 <br />THE EVERGREEN <br />CITY OF <br />� <br />everell �e DATE yZ'% Z <br />CITY HAt1 • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weights & Meas. <br />Fire __ Housing En meeting <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address i 3 d 2- <br />Items Inspected: - Z)4 -Z�- <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 />Form No. 424-001 M <br />