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5478 <br />everett <br />THE EVERGREEN <br />CITY OF <br />l2_8 7 <br />DATE <br />everettr _ <br />CITY HAIL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: i <br />!^'� <br />License <br />Electrical `' Weights&Mess. <br />Fire <br />Housing Engineering <br />Building <br />umbing <br />Inspectors Signature <br />Premises Inspected. (y' S SOe -0. <br />1 <br />Type of Building or property <br />Location or Address Cc�--- — — Q(a4 <br />Items Inspected: <br />I <br />Items appearing to need /additional inspection: <br />V \ <br />I— , in attendance on the Premises, <br />certify that the above inspection was made. <br />Sign re Lof U;z�� <br />Form No. 424-001 .T <br />