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I <br />everett 1677 <br />THE EVERGREEN <br />CITY OF <br />everett DATE <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights& Meas. <br />Fire Housing _.. _ Engineering <br />Building Plumbiyg <br />Inspectors SignatureO"L`-'� <br />I � <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 3 O <br />Items Inspected: �A1 <br />Items appearing to need addition.3l inspection - <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 X <br />.■ <br />