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I <br />evereit <br />Inspecting Department <br />THE EVERGREEN <br />CITY OF <br />evered <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />FOR <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical Weights & Meas. <br />Fire Housing Engineering ..._— <br />Building <br />Plumbing �7e)c'/� <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: i <br />%L{1 _<. Lei �( C. e •-- [T <br />Items appearing to need additional inspection: <br />i <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature _ <br />Form No. 424-001 JV <br />