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e,erett,.e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY MALL • EVERETT <br />WASHINGTON 98201 <br />616 9 <br />DATE 2- T 7 �`— <br />I <br />CITY OF E'VERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights& Meas. <br />Fire Housing Engineering <br />Building �Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items <br />to need additional inspection: / <br />`1 <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 f7 <br />