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everett THE EVERGREEN <br />CITY OF <br />everett DATE <br />CITY HAIL • EVERETT CITY OF EVERETT <br />Le WASHINGTON S8201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. -- <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature _ <br />Premises Inspected: <br />Type of Building or property <br />Location or Addresses <br />Items Inspected:/ 6� <br />Items appearing to need additional inspection: <br />1 ' , in attendance on the Premises, <br />certify that the above inspection was made. <br />/ a <br />Signatur� ���- <br />Form No. 124-001 ST <br />