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everett <br />THE EVERGREEN <br />CITY OF- <br />everett <br />CM HAIL • EVERETT <br />WASHINGTON 99201 <br />DATE 3— / S — z. Z---- <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />L; ^ Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature = <br />Premises Inspected:% /� y <br />Type of Building or property �1!>i•�—•'�`'r <br />Location or Address 3 <br />Items Inspected: <br />s appem Lg to need additional inspection: -/7 e�� :� <br />eft <br />1 in attendaMe—on the Premises, <br />certify that the above inspection was made.. <br />7 <br />Signatui25-z— <br />�[ <br />Form No. 424-001 y <br />