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everett THE EVERGREEN 1560 <br />CITY OF q <br />everett DATE ,,e 7� <br />CITY rats • EVERETT CITY OF EVERETT <br />WASHINGTON 9B201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Numbing <br />Inspectors Signature <br />Premises Inspected: ,5-1�CA/Wle'/t �,f <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature ___ <br />Farm No. 12a- "1 .� <br />