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0 <br />everett THE EVERGREEN 3538 <br />CITY OF <br />everett DATE <br />CITY HALL • EVERETT CITY OF EVERETT <br />110'ej WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical f�1 Weights & Meas. <br />Fire Housing Engineering <br />Building Pluumbing <br />Inspectors SignaturC.�a���,( <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 4(O J sl'�GI) -,—�- � , <br />Items Inspected: 3`zt 3 ��,.i�u�..! <br />e A­rspectl� <br />Itcys ap�to rte� <br />C�"k-� <br />r. , in attendance on the Premises, <br />certify that the above inspection was made. <br />2y� <br />Signature <br />Form Nu. 424—ee1 ,je] <br />