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everett 1HE EVERGREEN <br />CITY OF <br />everett DATE,,e <br />��� <br />arr HALL • EVEven CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights& Meas. _ <br />Fire Housing Engineering <br />jBuilding Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property �21j-iy r r:5 i D iat.c �^ <br />h Q <br />Location or Address at of <br />Items Inspected: I `✓ <br />tF- <br />Items appearing to need additional inspection: <br />� &-"'1 U .� r)—� o.t/ iti / 2u G,C <br />f��RYH-�12 �,�sP .fiecrec.r,2r <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Siyoatur•!_______ _ <br />Fa,m No. 424 001 _4� <br />