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M1 <br />everett THE EVERGREEN 6249 <br />CITY OF <br />everett DATE �x/7Z-- <br />Le CITY HAAL • EVERETT CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering , <br />Building Plumbing ,VO -� c/ <br />Inspectors Signature An / ` r <br />Promises inspected: <br />Type of Building or property <br />Location or Address 1—el c) 6 0 4 <br />Items Inspected: ,y tr__o I.`Q ^ -cM ` <br />I" <br />�eta <br />Items appearing to need additional inspection: <br />1, , in attendance on the Premises, <br />certify that the above inspection was made. <br />I ' <br />I <br />I <br />Signature <br />Form No. 424-001 M <br />e <br />