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r <br />Inspecting Department: <br />License <br />Fire <br />Building -- <br />Inspectors Signature <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL ^ EVERETT <br />WASHINGTON 98201 <br />DATE _3 —/ 0 —% L <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights& Meas. <br />Housing Enyinecring <br />Premises Inspected: <br />Type of Building or property (�f <br />Location or Address,y <br />Items Inspected: y5'74, 3 <br />14.) <br />Items ap6earing to need additional inspe on: <br />"—,in attendance on the Premises, <br />certify that the above inspeeil5j as made. <br />Signature <br />Form No. 424-001 37r <br />E <br />