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everett THE EVERGREEN 81 19 <br />CITY OF <br />everett DATE__72_ <br />CITY HAIL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing `/ Engineering <br />Building Plumbing <br />Inspectors Signature _ 1C22- <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected <br />Items appearing to need addltlonal mspection: <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 3% <br />