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0 <br />everettt <br />g'I i <br />THE EVERGREEN <br />CITY OF <br />everett <br />DATE `t S <br />l <br />CITY HAIL • EVERETT <br />CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electrical <br />Weights & Meas, <br />i <br />iFire <br />Housing <br />Engineering <br />- i Building <br />Plumbing <br />Inspectors Signature <br />/ <br />_'(,,cea%12 <br />i <br />- ! Premises Inspected: <br />Type of Building or property <br />Location or Address <br />'. Items Inspected: <br />Items appearing to need <br />additional inspection: <br />1, , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424-001 _/ <br />