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everett 5645 <br />THE EVERGREEN <br />CITY OF <br />DATE <br />everett <br />,.e CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing r I ✓ <br />Inspectors Signature..L <br />Premises Inspected: •, ,. r ;`(� I_!- ' A' r <br />Type of Building or property <br />I Location or Address - (¢!c.E.✓/� <br />Items Inspected: <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />ISignature <br />Farm No. 424-001 .p% <br />