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i <br />THE EVERGREEN <br />CITY OF <br />everett <br />CIrY HAIL • EVEp Err <br />WASHINGrON 99201 <br />5808 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />Electrical Weights & Meas. <br />License <br />FirHousing Engineering <br />e <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address y <br />Items Inspected: V.. , <br />11 �J <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />I, <br />certify that the above inspection was made. <br />Signature <br />Form N, 424-001 -V <br />