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2973 <br />everett THE EVERGREEN <br />CITY OF i' 7 <br />everett DATE %,e f <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASKING70N 98201 <br />INSPECTION REPORT <br />Inspecting Department: 1/? <br />Electrical ✓ Weights&Meas. <br />License <br />Fire Housing Engineering <br />Building Plumt.ing <br />Inspectors Signature <br />Premises Inspected: "(r'JI (rN <br />Type of Building or property V<a`. <br />Location or Address �C�lro <br />stems Inspected: <br />-7�-,_ / <br />Items appearing need additional inspection: <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 42-1 001 =�� <br />