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everett l THE EVERGREEN <br />CITY OF <br />everett <br />Cm' HALL • EVENER <br />WASNINGrON 99201 <br />Inspecting Department <br />License Electrical — <br />Fire Housing — <br />Building Plumbing <br />Inspectors Signature <br />t i <br />7418 <br />DATE 3�L9/jz <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas. <br />Engineering <br />n1i premises Inspected: <br />1 <br />Type of Building or property <br />Location or Address " 2 / / <br />Items Inspected: <br />Items appearing to need additional inspection: <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .� <br />