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everett 6046 <br />THE EVERGREEN <br />CITY OF <br />everett DATE O i 2 <br />�e CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />j Inspecting Department: <br />I <br />License Electrical Weights & Meas. _ <br />Fire Housing _ Engineering <br />Building Plumbing -- <br />�¢j <br />Inspectors Signature <br />--��— � <br />pp <br />Premises Inspected: <br />Type of Building or property <br />Location or Address � a /.r <br />I -�/1 ,�'`� <br />items Inspected: �;�� ✓�4i""'--•-r� <br />/ o <br />Items appearing to need additional inspection: _ <br />CAL. P /M <br />in attendance on the Premises, j <br />Ei certify that the above inspection was made. <br />� Signature <br />Form No. 424-001 W <br />