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everett <br />THE EVERGREEN <br />CITY OF <br />evereft <br />CITY HAIL - EVERETT <br />WASHINGTON 98201 <br />10-19 <br />DATE J2 , I / <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License — Electrical <br />Weights& Meas. <br />Fire — Housing <br />Engineering <br />Building Plumbing <br />Inspectors Signature <br />Prcmi�3 Inspected: Q F- <br />Type of Building or property C�. <br />Location or Address <br />Items Inspected: <br />6, a-2. <br />IItems appem ing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />51 <br />Signatur4��4e—�Y�-— --- <br />F,,,, M, 424 001 2:7 <br />