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everett 5327 <br />THE EVERGREEN <br />CITY OF <br />-7 <br />e everett DATE Z/-�� — ,( <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />� pe 9 P <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: ..s-n.(% Cc�..ts•-v� 8� <br />Items appearing to need additional inspection: <br />I, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .0 <br />