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4 <br />3108 <br />everett THE EVERGREEN <br />CITY OF <br />everett <br />DATE,e <br />CITY HAIL • EVEEET <br />CITY OF EVERETT <br />w ASHINGION 9e201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering - <br />Building Plumbing / <br />Inspectors Signature <br />Premises Inspected: /—,— / i A / Type of Building or properly .f/, <br />Location or Address /b y -�le� / /A /% <br />Items Inspected: ifD 7 j �/ T/ DL'VN bi" o N <br />/7C-C&J'tc�`I Cyr/`L-cfi'orJ <br />Items appearing to need additional inspection: <br />1nA,��� , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Foam No. 424-001 -U <br />