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evere" <br />Inspecting Department: <br />License <br />Fire <br />THE EVERGREEN <br />CITY OF <br />everetit <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />5667 <br />DATE I 2-''-0- 7I <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights& Moos. <br />Housing Engineering <br />Building I--- Plumbing <br />Inspectors Signatare <br />Premises Inspected: <br />Type of Building or property L 111'1 1' <br />Location or %ddress - Z G A7 ,,ea <br />(Items I acted: r�y� �n / <br />Items appearing toneedadditional inspection: (let, <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature 44!:� <br />e'�- <br />Form No. 424-001 31 <br />