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v <br />everett <br />,,e <br />Inspecting Department: <br />License <br />Fire <br />Building <br />Inspectors Signature — <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HULL • EVERETT <br />WASHINGTON 98201 <br />• M <br />DATE 3 % <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights & M <br />Housing Engi 'ring <br />Plumbing <br />O <br />Premises Inspected: <br />Type of Building or property <br />Location or Address .<� 12 a <br />Items Inspected: W -k;- - S y u9 3 a a <br />c6-'n21oa'-el0 I'\ - <br />r,\ U)Vi3)1lIC)J'O— <br />Items9 ppeanng to need additional inspection: <br />I• , in attendance on the Premises, <br />j certify that the above inspection was made. <br />ISignature <br />Form No. A24-001 <br />