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everett <br />THEEVERGREEN <br />CITY Of- <br />everet� <br />CIfY HAIL • EVEPEII <br />WASMING70N 98I01 <br />751G <br />DATE �' S � 7 Z"' <br />CII�YOF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />Li:.ense Electrical __ Weights & Meas. <br />Fire Housing Engineeriny <br />Building � - Plumbing <br />���Inspetrors Signature —�/— -- <br />Premises Insper�ed� �� �' � <br />Type o( Buildiny or property ���� <br />Location or Address _ '��✓ ��« <br />Items Inspected: /�,�� ^� ���.� <br />-F. ----_ -- - —� <br />� _ds�.�L..._/� <br />Q l� — <br />Items ap{xaring to nced additional inspection�. <br />I__�,�.1—�/7" __ , in :ntenJance on the Premises. <br />certily [hat Ihe a6uve inspection wus m�de. <br />Sign.iwr � �i���� r'i..�G./— - - <br />fa�rm No. 424 � 001 b' <br />