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everett <br />�e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />3672 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License _ Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing A— <br />)� p f Inspectors Signature_ ✓�+""' <br />Premises Inspected: <br />Type of Building or property <br />Location or R.ddress <br />Items Inspected:..f,taa6a.A«„ — 4d..1 � We—C�• <br />Items appearing to need additional inspection: <br />-A-u+-a....+ CW <br />1, , in attendance on the Premises, <br />certify that the above inspection was made. <br />ignature <br />Form No. 424-001 .V <br />as <br />r - . <br />