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everett 4927 <br />THE EVERGREEN <br />CITY OF <br />everett DATE�e <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98701 <br />INSPECTION REPORT <br />Inspecting Department <br />License Electrical Weights & Meas. <br />Fire —_ Housing Engineering <br />Building Plumbing <br />Inspectors Signature, <br />T <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 5 3 v7 (/J <br />Items Inspected: <br />0, G <br />�i%✓1�MGti" �I • � fx <br />Items appeari g to need additional��ct C•C�LNp�`-' IQ <br />in attendance on the Premises, <br />certify that the above inspection was made. � J r,'L-t `�-oYs•�2 - <br />Signature <br />Fo,m No. 424-001 W <br />