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3-' <br />everett THE EVERGREEN <br />CITY OF <br />everett <br />�e CRY MAIL • EVERETT <br />WASHINGTON 98201 <br />Inspecting Depal tment <br />I icense <br />Fire _ <br />Building __— <br />inspectors Signature — <br />109 <br />i?_;I- <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights & Meas. <br />Housing __ Engineering <br />Plumbing <br />'3'II/ I .. <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />items Inspected: -77— Q <br />Itel�SS :T Paring to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-0e1 .T <br />0 <br />