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i <br />everett <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />4047 <br />DATE,--'-" - A % <br />CITY OFEVERETT - <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Heights & Meas'. <br />Fire Housing Engineering <br />Building ,P,luumb'ing0 <br />Inspectors Signature \`= J??jam cez� <br />Premises Inspected. , 04 <br />Type of Building or property <br />Location or Address So <br />Items Inspected: <br />Items appearing to need additional inspection <br />I.— , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 .8 <br />