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I <br />E <br />THE EVERGREEN 7673 <br />CITY OF <br />everett DATE <br />CITY IIALL • EVERErt CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />In 3ecting Department: G <br />License Electrical/��' Weights& Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: .3 <br />Items aaring to need additional inspections <br />ppe/ <br />1 <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 36 <br />