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everett THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGTON 98201 <br />4842 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical p�coWeights& Meas. <br />Fire , Housing Engineering <br />Building Plumb' Tg <br />Inspectors Signature G'�iZ�IJ <br />Premises Inspected: ryt .� <br />Type of Building or property <br />i Location or Address <br />Items Inspected: C '2- Z./{Lj ru <br />Items appearing to�pneed/dditional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 7J <br />