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everett THE EVERGREEN <br />CITY OF <br />evereft <br />,e ..i I: -AL: • ErtIII <br />WASHINGTON 9A;01 <br />I nspeccing Department: <br />License Electrical <br />Fire Housing <br />Building Plumbing <br />Inspectors Signature —1 <br />7 H 8 <br />DATE <br />CITY OF EVERETT <br />INSPFCTION REPORT <br />Weights & Meas. <br />Engineering <br />! Premises Inspected: 1 Type of Building or property 1—�/ri�� /��Si PtaL,,e & <br />I Location or Address <br />Itemslnspe�ted:^Z- <br />7 AlIN� <br />V [oLf}TZOA,1 <br />Items appearing to need additionol inspection, <br />J.JNk C;.f•P -L C,,t4 eiAGTS <br />57oi.ar—r- -E Toff o 4 vr/t <br />I,_ _ , in attendance on the Premises, <br />certify that the above inspection Was made. <br />Signature _ _ <br />Form No_4e4 OCI <br />