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L <br />THEEVERGREEN <br />CITY OF <br />everett <br />CIrY HAIL • EVERETT <br />WASHINGTON 997e1 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: �j/' 5 _ <br />License Electrical 5 i� ` weights & Meas. .-- <br />Fire Housing _ Engineering <br />Building umbing � �� <br />Inspectors SignatureL--- <br />Premises Inspected: L ' � zrc;- <br />Type of Building or property t% ` nt' <br />Location or Address <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. 414-001 .� <br />