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THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />Inspecting Department <br />4469 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />License Electrical Weights & Meas <br />Fire Housing Engineering <br />Building �y Plumbing <br />; <br />Inspectors Signature_%� <br />a <br />Premises Inspected: <br />Type of Building or property Location or Address 'S// <br />' Items Inspected: <br />Items api.earing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature _ <br />Form .co. 424-001 1 <br />L fi}"— _ __._... . <br />