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everett <br />THE EVERGREEN <br />,Le <br />CITY OF <br />�7 <br />DATE- $?=!-1 <br />evereff <br />CITY HALL • EVERETT <br />CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />Electrical ��� <br />:heights & Meas. .— <br />License <br />Fire <br />Housing - <br />_ Engineering -- <br />Building <br />^Plumbing --- <br />Premises Inspected: V <br />Type of Building or property <br />Location or Address <br />Items Inspected: 3"6,/—�� �1 <br />Items appearing to <br />i <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 iT1/ <br />I <br />n <br />,s <br />