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everett <br />Mj= I <br />THE EVERGREEN <br />CITY OF <br />ever,et# <br />---7345 <br />GATE .? —J?d ' 72 <br />CITY HALL • EVEEETr CITY OF EVERETT <br />WASr11NGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />�j <br />Inspectors Signature- K <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 17() e2 ! s <br />Items Inspected: 1— <br />Items appearing to need additional inspection: <br />in :.ttendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 30 <br />