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LeverettTHE EVERGREEN 6645 <br />CITY OF <br />everett <br />DATE _��Y� <br />cHv HALL • EVEatn CITY OF EVERETT _ <br />WASHING70N 982CI <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature�"""�— <br />Premises Inspected: <br />Tyf of Building or property S ,F, O au `LL I. G <br />Location or Address \. a C 0 �--t HOft� <br />Items Inspected: C 1. S SPne-u — O • (— . <br />P `kH 1—( dIvL Z 1 3 � <br />Items appearing to need additional inspection: <br />1 _ , in attendance on the Premises, i <br />certify that the above inspection was made. <br />Signature <br />Fu,m,• •24-001 -T <br />