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everelt 4030 <br />THE EVERGREEN <br />CITY OF <br />everett DATE_sy <br />CITY HALT evrarn CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building A— Plumbing <br />Inspectors Signature <br />I � <br />Premises Inspected: "'"� %%��•��' <br />Type of Building or property �+--•� <br />Location or .Address <br />Items Inspected: ♦4.4- yl e-� fJu-a1 c0- ....� (/ P,•.-✓ <br />4WD f. _oo D__o _ <br />Item; appearing to need edditio'1al inspection.--�7-��-� <br />CJ-br-c� �..✓ ��-� c� /�1-d2-- � 7i1P�, ,may <br />' % 7 &0 <br />I• — , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />farm No. 424-001 X <br />I <br />