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everett <br />i <br />� 5 <br />Of, <br />Inspecting Department: <br />THE EVERGREEN <br />CITY OF <br />ederett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />11 <br />5072 <br />DATE _/ 0 - ,)4 7t <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License -- Electrical Weights& Meas. <br />Fire Housing Engineering <br />Building PIL <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address / '� r p.%A- <br />Items Inspected: <br />Items appearing to need addin nall in�nspeecctix' <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 9 <br />r <br />