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_.... ........... <br />everett 1092 <br />THE EVERGREEN <br />CITY OF <br />everett DATE"�3 <br />CITY HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License _— Electrical Weights & Meas. - <br />Fire Housing Engineering _ <br />Building Plumbing <br />Inspectors Signature eel ez <br />Premises Inspected: <br />Type of Building or property <br />Location or Address n 5 a-y <br />Items Inspected: <br />in attendance on the Premises, <br />certity n.', uve insp ction was made. <br />SignaLum.. <br />Form No.424-001 <br />