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evere" THE EVERGREEN <br />CITY OF <br />everett <br />,.e CITY HALL - EVERETT <br />WASHINGTON 90201 <br />Inspecting Department <br />5830 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License _._ Electrical Weights & Meas. <br />Fire Housing Engineering/ <br />Building .. ,//Plumbing ��� % ✓ <br />Inspectors Signature 'v <br />Premises Inspected: <br />Type of Building or property <br />Location or Address -j'4 <br />Items Inspected: 66 <br />Items appearing to need additional inspection: <br />I, , in attendance on tree Premises, <br />certify that the above inspection was matte. <br />Signature <br />Form No. 424-001 30 <br />