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e%ereri <br />e I <br />Inspecting Department <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY "it • EVERETT <br />WASHINGTON 94201 <br />1523 <br />DATE3"-2' �— /) <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical __ Weights & Meas <br />Fire HousingEngineering <br />Building -- / <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property+ ✓'d"'^'r'��3 0vp1^-'� <br />Location or Address <br />Items Inspected: 5-.0 40 v / U / 0 6 �� <br />Items appearing to need additional inspection: <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form N.. 424-001 .YY <br />