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everett THE EVERGREEN <br />n3194 <br />CITY OF <br />everett <br />DATE -- <br />CITY HALL • EVERETT <br />CITY OF EVERETT <br />WASHINGTON 99701 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical lkeights & Meas. <br />Fire Housing Engineering <br />Building --//� Ph3O'g- ./X Z <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 3<, <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 X <br />