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everett <br />,.e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAUL • EVERETT <br />WASHINGTON 98201 <br />DATE j7A� 2�4--L_ <br />CITY OF EVERETT% <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing C. A I <br />Inspectors Signature ��+1-�✓`�' <br />''«• Premises Inspected: <br />iType of Building or property c_ ( I 1 <br />Location or Address <br />I f <br />Items Inspected: c. 1.PNCAS hACA-"Y� GAS (ZAu6L <br />sa ^c�� ►� SA`tP i�Rrt I'( i� i 31 3p, � z 10 f <br />Items appearing to need additional inspection: <br />iL�L1`(� vPLv�, ��scHAtzt. <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 <br />t-•1 r <br />