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everett 7891 <br />THE EVERGREEN <br />CITY OF <br />everett DATE 2d-�e <br />CITY HAIL • EVERETT CITY OF EVERETT <br />WASHINGTON 911201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License _ Electrical ✓/_Weights& Meas. <br />Fire _ Housing Engineering <br />Building Plumbing <br />Inspectors Signature —&4'co�• ._ <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 JU <br />9 <br />