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D <br />Inspecting Department <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAtt • EVERETT <br />WASHINGTON 98201 <br />6560 <br />DATE i'" I T - 7 Z— <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical % Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing yy,,yy <br />Inspectors Signature c=-'� <br />Promises Inspected:o-.,c,��, <br />Type of Building or prone ty <br />Location or Address a ? - �> <br />Items Inspected: <br />Items <br />aring 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 :V <br />