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everett 4599 <br />- THE EVERGREEN <br />CITYOF 7 <br />tf DATE ' <br />evere <br />City HAIL • "EREU CITY OF EVEREUT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License ___ Electrical �/ Weights & Meas. <br />Fire Housing Engineering <br />Building lumbi��ng <br />Inspectcrs Signature ,6 'r�i LQ_ <br />Premises Inspected: Fveve r-7 t ��P %e 5���_ / <br />Type of Building or property L 19 c� 41- V <br />Location or Address <br />Items Inspected: <br />Items appaaringlo needdaadddiftional it <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatur dtz& ArJf.Id, <br />Form No. 424-001 M <br />