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r' <br />everett THE EVERGREEN 4490 <br />CITY OF [y <br />everett DATE / I� t� <br />1 <br />CITY HALE • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />�I <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Buildingf�30➢V�-�,.�,��l7//�S`Q�� <br />Inspectors Signature <br />Premises Inspected: <br />r <br />Type of Building or property <br />Location or Address r6f Q <br />Items Inspected: <br />�f " C / Q � i✓-..pro-ti <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 Z <br />III <br />