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everett THE EVERGREEN 7106 <br />CITY OFF <br />everett DATE <br />env HAd • EVEFER CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />i <br />Inspecting Department: <br />iLicense Electrical Weights& Maas, <br />Pom <br />LHousing Engineering <br />� <br />Building �.�Plumbing <br />Inspectors Signature%__jam/�/6-a-Y, <br />- <br />�?!Premises Inspected: G✓.r-��L .�' Lt � <br />Type of Building or property <br />Location or Address 3 �>X <br />Items Inspected: CA. LC4 1-� <br />A41A. t Yak <br />Itgt lss appgyr,ny 1u need additional inspect- <br />/""T% <br />in attendance on the Premises, <br />certify that the aboty inspection was made. <br />Signature <br />Form No. 424-001 X <br />