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A <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />W ASNiNGtON 9"0' <br />Inspecting Department: <br />License <br />Fire <br />Building <br />4 Inspectors Signature -- <br />i <br />DATE — <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas, <br />Electrical <br />Engineering -� <br />Housing / <br />Plumbing I <br />J <br />Premises Inspected: <br />TYPe of Building or proper" I I <br />1 Location or Address <br />U'A',"% !r <br />Items Inspected: C'('C r� <br />-Y <br />inspection: <br />Items appearing LO need additional <br />I, in attendance on the Premises, <br />ccrtifV that the above inspection ction was made. <br />' <br />Signature <br />Farm Na. 414-00r .�'. <br />9 <br />