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everett <br />Inspecting Department: <br />License <br />Fire <br />Building <br />Inspectors Signatures <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVERETT <br />WASHINGTON 98201 <br />Electrical 7c�6 <br />Housing <br />4821 <br />DATE- 0 — / _, / I <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights & Meas. <br />Engineering <br />Premises Inspected: m9- <br />Type of Building or property_ <br />L) Oa <br />Location or Address'Q <br />Items Inspected: <br />Items appearing to need additio —" <br />v' <br />�YL � 'Vc ✓ Y- <br />1, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 `7 <br />I• <br />