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everett 4181 <br />THE EVERGREEN <br />CITY OF <br />evereft DATE <br />CIN HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building mbbiing <br />Inspectors Signature—/60'Cn <br />I Premises Inspected: t"'-7 / <br />Type of Building or property <br />Location or Address <br />Items Inspected: L. <br />Items appearing To need additional inspection: <br />I,j/1J'�—" , in attendance on the Premises, <br />certify that t 1e abion was made. <br />Signature <br />Form No. 424-001 Z <br />