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everett THE EVERGREEN <br />CITY OF <br />evereft <br />CITY HALL • EVERETT <br />WASHINGTON 99201 <br />1H <br />DATE _, % <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights& Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of building or property <br />A <br />Location or Address <br />Items Inspected: <br />/DO a (/ <br />A lr��� <br />Items appearing to need additional inspection <br />u <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Fun' .n.A.4 0,1 <br />