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everett <br />,.e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />5422 <br />DATE _///A&L <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building -J-"�— Plumbing <br />Inspectors Signature <br />Premises Inspected: ///��44-wl sl!e <br />Type of Building or property <br />Location or Address 31 Z 6 <br />Items Inspected: <br />Items appearing to need additional inspection: <br />©/ / a oa <br />in attendance: on the Premises, <br />certify that the above inspection was made. <br />Signature <br />n <br />Form No. 424424-001� <br />