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everett <br />,e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98rl <br />5899 <br />DAT'c <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Enginee ' g _— <br />Building - G' Plumbing -- <br />Inspectors Signature - <br />Premises Inspected: <br />Type of Building or property <br />Location or Address e- <br />Items Inspected; <br />Items appearing to need additional inspection <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No 424-001 .9 <br />