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everett 7216 <br />THE EVERGREEN <br />CITY OF <br />everett DATE <br />CITY HALL - EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical _ Weights & Meas. <br />Fire Housing Engineering, <br />Building Plumbing <br />Zn <br />Inspectors Signature <br />Premises Inspected: <br />i-„--Ype of Building or property <br />5 � <br />Location or Address y 5 <br />r - - <br />Items Inspected: <br />f 0 <br />Items appearing too�need <br />�radditional inspection: +� <br />Tr ite.t �/ e <br />/S- <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />d <br />Signature <br />r-orm No. 424-001 JO <br />