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euerett 3796 <br />THE EVERGREEN <br />CITY OF <br />everett DATE 71__ <br />CITY Mnu • sysssn CITY OF EVERETT <br />WASMINGTIM 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights& Meas. <br />Fire Housing Engineering <br />Buil <br />ding InI <br />Inspecttors Signature <br />Premises Inspected: p'a���.•�-ems <br />Type of Building or property <br />Location or Address p <br />Items Inspected: <br />Items appearing to need addition Al inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form �iNo. 424 _. J01 X <br />