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everett 5840 <br />THE EVERGREEN <br />CITY OF <br />1 everett DATE ��� -7/ <br />,e CRY HALL • EVERtn CITY OF EVERE7;' <br />WASHINGTON 9Ato1 <br />INSPECTION REPORT <br />Inspecting Department: <br />License __ Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />� Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />i. <br />j.' Items appearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form Na. 434-001 .0 <br />