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evere7 <br />tt + J <br />THE EVERGREEN <br />CITY OF _ <br />everett DATE y— ! 7 —% <br />,,e CITY HAIL • EVERETi CITY OF EVERETT <br />WASHINGTON 99201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License __ Electrical Weights & Meas. <br />Fire Housing Engineering <br />Buildingy Plumbing <br />Premises lnspected:CQ/y',._�//�.✓�--�, r� <br />Type of Building or property <br />Location or Address / -? I -L '� r <br />Items Inspected: <br />Items <br />�appearing <br />gtto need additional inspection: <br />V- <br />I, rrr� attendance on the Premises, <br />certify that the above inspection was made. <br />Signature Lt C-/L% <br />For-Ti No. 494--001 .� <br />