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everett 5215 <br />THE EVERGREEN <br />CITY OF <br />everett DATE /0 30 7.1 _- <br />an' HAIL • EVEYFr1 CITY OF EVERETT <br />�.e WASHINGION 98701 <br />INSPECTION REPOR r <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Q <br />Inspectors Signature _ - � — <br />Premises Inspected: SR <br />Type of Building or property / <br />Location or Address [ f�'j_. 2. 3.•�f L _ <br />Items Inspected: <br />all <br />„ r , <br />attendance on the Pr ises, <br />Signature <br />Furm No. 424-001 y? <br />