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56 <br />everett THE EVERGREEN 5?_ <br />CITY OF <br />everett DATE <br />CITY HAIL • EVERE" CITY OF EVERETT <br />WASHINGTON 9E101 <br />INSPECTION REPORT <br />Inspectirg Department: <br />License Electrical — Weights & Meas. <br />Fire Housing Engineering -- <br />.�\ Building Plumbing .,. <br />\�. I Inspectors Signature <br />-'��� <br />Premises Inspected: ,/./ <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items pearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />JJ <br />— <br />Signature yr��_ <br />Form No, 424-001 X <br />