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everett <br />Inspecting Department: <br />License <br />Fire <br />Building 4- <br />Inspectors Signature, <br />THE EVERGREEN 6674 <br />CITY OF n <br />everett DATE <br />CITY aAu • EvERr+7 CITY OF EVERETT <br />WASHINGTON 96201 <br />INSPECTION REPORT <br />Electrical Weights & Meas. <br />Housing Engineering <br />Plumbing <br />Premises Inspected f�—&'LA'—'.( <br />Type of Building or property C'- y "_`JJ�"`Gt••••• <br />Location or Address <br />poems Inspected: <br />Sic <br />Items aoptUring to need a dd{t{onal inspection: <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signatu <br />Form No. 424—ee1 -V <br />