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I <br />r <br />everett ? 5 <br />THE EVERGREEN <br />CITY OF <br />everett DATE�e <br />On? HALL • EVERETT CITY OF EVERETT <br />WASHINGTON 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights& Meas. _ <br />Fire Housing QJ � Engineering <br />Building Plumbbiin/�',, <br />Inspectors Signature ��C'y 'Y/✓Vy <br />Premises Inspected: �9 <br />Type of Building or property J �l 2/ <br />Location or Address <br />Items Inspected: qj-O a> <br />0.9 <br />Items appearing to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />I <br />Signature <br />Form No. 424-001 " <br />