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everett <br />�e <br />Inspecting Department <br />License <br />Fire / <br />Building ✓ <br />Inspectors Signature _ <br />THE EVERGREEN <br />Cll Y OF <br />everett <br />C!T9 HALL • EVERETT <br />WASHINGTON 99201 <br />Electrical <br />Housing <br />Plumbing <br />5484 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas. <br />Engineering <br />Premises Inspected: ELI'C/L' C, A e y S T—� o <br />Type of Building or property (40 u„ r_,L <br />Location or Address ,? ( - 1-7c", r1 <br />Items Inspected <br />Items appearing to need additional inspection: <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatul�%���— <br />Fonn Na. 424-001 ,U <br />