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everetl 637 5 <br />THE EVERGREEN <br />CITY OF 1 - % 7 _ J 1' <br />everett DATE <br />,e urr HAUL • EVERErr CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected:�``�'� <br />i <br />Type If Building or property <br />Location or Address 13 Q 4- <br />items Inspected: <br />Items appearil to need additional inspection: <br />n� <br />r <br />I , in attendance it the Premises, <br />certif that the above inspection was made. <br />Signature <br />Form No. 424-001 .$l <br />0 <br />rJ <br />