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everett THE EVERGREEN 3265 <br />CITY OF <br />everett DATE ?7--�-"�L <br />CITY HAIL • EVERrm CITY OF EVERETT <br />WASHINGTON 993oi <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical <br />Weights & Meas. <br />Fite Housing <br />Engineering <br />Building Plumbin <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property —A-04 <br />Location or Address / '-I h <br />Items Inspected: <br />Itemsaq>caring o need additional in`ectio`�µ�_ <br />�ML�-�f/-Lww� • 02 . <br />in attendance on the Premises, <br />certify that the above inspecliun was made. <br />Signaure <br />Form Na 474 10I _vj <br />