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a <br />4461 <br />everett THE EVERGREEN <br />CITY OF <br />everett <br />0 <br />DATE <br />CITY HALL • EVERETT <br />CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building P <br />lumbing ��� <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />S 3-� <br />Location or Address f-o a <br />Items Inspected:4--e <br />Items appearing to need additional inspection: <br />1 �iU �.�L/✓i/!1"— i, attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .27 <br />