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5877 <br />everett <br />THE EVERGREEN <br />" <br />CITY OF <br />evere#t <br />DATE <br />cIrrH U. • EVER¢" <br />CITY OF EVERETT <br />WASHINGION 9E201 <br />' <br />I <br />INSPECTION REPORT <br />Inspecting Department: <br />Electrical <br />Weights & Meas. -- <br />License <br />Housing <br />Fire <br />Engineering <br />.r <br />- - Building <br />/ <br />^Plumbing <br />1V <br />inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />- Location or Address .7701 <br />- Items Inspected: <br />" Items appearing to need additional inspection: <br />Ld <br />i I , in attendance on the Premises, <br />certify that the above inspection was made. <br />i <br />Signature _ <br />I <br />Form No"424-001 .�% <br />