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everett THE EVERGREEN <br />CITY OF <br />evereft <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />Inspecting Department: <br />License Electrical <br />`ire Housing <br />Building Plumbing'_ <br />Inspectors Signature -� <br />4069 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas.. <br />Engineering <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />- .. \. <br />Item, appearing to need additkmmr inspection: - <br />I. , in attendance on the Premir.s, <br />certify that the above inspection was made. <br />Signature _. <br />Form No. 424-001 Z j <br />