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L <br />5831 <br />Fevere" <br />THE EVERGREEN <br />Le <br />CITY OF <br />everett <br />DATE �� / i <br />CITY NAIL • EVERETT <br />CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />i <br />I <br />_ <br />I <br />License <br />Electrical <br />Weights R Meas. - <br />Fire <br />Housing <br />Engineering <br />Building <br />Plumbing <br />Z, <br />t <br />Inspectors Signature1�' <br />_ a <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 971 Z-7 <br />Items Inspected: -2 �-aZl -�Y� - <br />�bO�o <br />Items appearing to need additional inspection: <br />1. , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Fo,m No. 424--001 M <br />