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Deverett THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />Y/ASHINGTON 98201 <br />Inspecting Department <br />7908 <br />DATE % <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License -- Electrical Weights & Meas. <br />Fire -- Housing Engineering <br />Building Plumbing <br />r• <br />Inspectors Signature � <br />Premises Inspected <br />r <br />Type of Building or property <br />_ 1Li7c) <br />Location or Addrss V <br />Items Inspected: <br />f _ <br />Items appearing to need additional inspection: <br />I _ , in ertendance on the Premises, <br />terrify that the above inspection was made. <br />Signature <br />Fonn No. 424-001 M <br />