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everett <br />Le) <br />Inspecting Department: <br />License <br />Fire <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 99201 <br />4099 <br />DATE / 7/ <br />CITY OF EVEREETT <br />INSPECTION REPORT <br />Electrical Weights & Meas. <br />Engineering , <br />Building Plumbing ,X <br />Inspectors Signature •� L"'�`G�.''-'ter__-✓ <br />Housing <br />premises Inspected: �L -lam ' 0'-c QwiL-C-✓� <br />Type of Building or property <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 />Signaturet�� <br />Form No.4Y4—Gel X <br />v <br />