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2164 <br />everett THE EVERGREEN <br />CITY OF <br />DATE��—i� <br />ue le, verett <br />CITY HAU • EVERETT CITY OF EVERETT <br />1ASHING70N 98201 <br />INSPECTION REPORT <br />Inspecting Department <br />License <br />Electrical Weights&Meas. <br />Fire <br />Housing Engineering <br />Buildingy Plumbing - / <br />• inslectors Signature <br />Premises Inspected: ^ <br />I Type of Building or property <br />Location or Address <br />Items Inspected: —de;;r ��-7�e rit�✓"�^'� <br />Ite u nee a.. 1� <br />—&— _ — , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signaturr.. 4. <br />Form No. 424-001 X <br />