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eve r e ti THE EVERGREEN 3092 <br />CITY OF <br />everPtt DATE 71 _ <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building --,k— PI,,m/Ling n,! <br />Inspectors Signature <br />Premises Inspected: �Q�T 1171 <br />Type of Building or property d��'L>G `+i Y✓'� <br />Location or Address -j 3: N0021zllwu, <br />Items Inspected: <br />Items appearing to need additional inspection:: / <br />`' in attenda� o he re 1ses, <br />certify that the above inspection was made. <br />f%LlSlgnatur <br />/ �W�.. <br />Form No. 424-001 -U <br />