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everett 6747 <br />THE EVERGREEN <br />CITY OF <br />everett DATE % Z <br />�e UTY HAIL • EVENETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing �7 �� zEngineering <br />Building Plum ing .�� 3 / <br />Inspectors Signature <br />i <br />Premises Inspected: <br />Type of Building c• property <br />Location or Address <br />Items Inspected: <br />GO <br />Items appearing to need additional inspection <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 474-001 Z <br />