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a <br />5059 <br />everett THE EVERGREEN <br />CITY OF p —7 <br />everett DATE /d '/�+ <br />CITY HALL • EVERETT CITY OF EVERETT <br />Le WASHINGTON 982e1 <br />INSPECTION REPORT <br />i <br />Inspecting Department: <br />License Electrical Weights & Meas. -- <br />i Fire Housing Engineering <br />Building Plumbing - <br />Inspectors Signature —- <br />Premises Inspected: ,% ��Go-✓— <br />Type of Building or property <br />Jt OD S - <br />Location or Address -_ 3 <br />Items Inspected: <br />Items appearing to n/d additional inspection: <br />attendance on the Premises, <br />certl at the above inspection was made. <br />Signature <br />Form No. 424-001 M <br />