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Mi <br />evereit 4 214 <br />THE EVERGREEN <br />CITY OF <br />everett DATE/ <br />CITY HAIL • EVERETT CITY OF EVERETT <br />WASHINGTON 98I01 <br />INSPECTION REPORT <br />Inspecting Depar rmenc <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />i <br />Building Plumb,m <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />,SIP-/t/-rl-/ <br />Items ap"riing to need additional inspection: <br />,fit 6— .I�L�—� 4Z-� <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signa ure <br />Form No. 4I4-001 YJ <br />