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i <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY IWLt • EVERETT <br />WASHINGTON 98201 <br />Inspecting Department: <br />License Electrical <br />Fire Housing <br />5943 <br />DATE _ I�' 7 -L <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas <br />Engineering <br />Building Plumbing <br />Inspectors Signature <br />IF <br />Premiseslnspected: <br />Type of Building or property <br />Location or Address-5/ Z �� <br />Items Inspected; C'��.>.-� <br />Items app65ring to need additional inspection: <br />,5 1,-- . <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatu� <br />Form No. 424-001 X <br />