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tt 4 3 3 5 <br />evere <br />i THE EVERGREEN <br />CITY OFF <br />eVereO�e DATE <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98101 <br />INSPECTION REPORT <br />Inspecting Department: <br />i <br />License Electrical Weights & Meas. <br />Fire Housing Engineeriog <br />Building !nt Plumbing_._ <br />Inspectors Signature <br />Premises Inspected: Apt i%Ccao / <br />Type of Building or property <br />Location or Address „:jv09— 33 �u-R w <br />Items Inspected: <br />n, 5 w c.J-Q _ <br />--Items appearing to need additional inspection: C <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 X <br />