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evereft 5539 <br />THE EVERGREEN <br />CITY OF / <br />Le evereft DATE <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting DeparvnenC <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building 4. Plumbing <br />InspectorsSignab,re11---G�t(,..e/ _ <br />Premises Inspected: ax A'1, <br />Type of Building or property e�/2/LM^'I <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />el <br />I,_ 4'2'� I , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatur <br />Form No. 424-001 X <br />