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4663 <br />everett <br />THE EVERGREEN <br />CITY OF <br />everett <br />DATE �y_ ��— <br />CITY HAIL • EVERETT <br />CITY OF EVERETT <br />,e <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electrical <br />Neights & Meas. <br />Fire <br />Housing <br />Engineering <br />Buildino �— Plumbing -- <br />Premises Inspected: ! ;-1Yl pzel s—! <br />Type of Building or property niyy� <br />Location or Address 21111W /�/..,_,_ <br />Items Inspected: <br />ems appeari lgg to need additional spection: <br />i ,yS .S in attendance on the Premises, <br />certify that the above im. ction was made. <br />Signature_ _ <br />Form No. 424-001 <br />