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r <br />everett`, THE EVERGREEN <br />CITY OF <br />eVerett <br />o'n, Hp Et . EVERErt <br />lwASNit4wom 93101 <br />, 7887 <br />oATE 7 <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: _--/dry <br />eights & Meas. <br />Electrical License <br />Engineering —'— <br />�— ✓✓✓ <br />License Housing <br />Fire �— <br />Plumbing <br />Building Inspectors Signature <br />Premises Inspected' <br />Type of Building "r property <br />LocatioAddress <br />Items Inspected: <br />to od additional inspection: <br />appearing n <br />Items appe <br />'I .ice in attendance on the Premises' <br />I---- inspection was made. <br />`I• certifY that the above <br />Signature _--- <br />Form No.574-00' <br />