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;e = <br />tc <br />- <br />everett THE EVERGREEN <br />CITY OF <br />everett <br />�e CIN HALL • EVERETT <br />WASHINGTON 98201 <br />Inspecting Department <br />License <br />Fire <br />Building <br />Inspectors Signature <br />II <br />5609 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights& Meas. <br />Housing Engineering <br />Plumbing �- ✓ <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 3'/ S� L= <br />Items Inspected: C#3 '2 <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 ;117 <br />