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370 <br />everett)-� <br />THE EVERGREEN <br />CITY OF <br />everei: <br />/ <br />DATE <br />!ej <br />CITY HAu • EVERETt <br />CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License _ Electrical Weights & Meas. <br />Fire Housing ✓ Engineering <br />Building Plumbing <br />Inspectors Signature — <br />Premises Inspected: crtitiL'- <br />Type of Building or property '-OM a PL'S-t`. RI-oetc- 4 t'r-NNE <br />��p+l-r�it-GrA� RLbC. w/ '�:' PPiL• ARwE <br />Location or Address L1 F _ 3 a _ A vE <br />Items Inspected: y1+S' r-oG(Z, ;A <br />R�.a.nRrMG ,..1aj Ir..i /�ccoEWAr-td``'. wt�s-1 c9P` <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature _Sr <br />Form No. 424-001 X <br />