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everett ' <br />THE EVERGREEN S 3 8 <br />CITY OF <br />everett DATE LZ— S'_CITYHALL • EVERETT_—=--!_/ <br />WASHINGTON 98201 CITY OF EVERETT <br />—�— INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electricals/n <br />Fire ��-- Weights& Meas. <br />�-- Housing <br />Building �-- Engineering <br />'—� Plumbing �- <br />-� <br />Inspectors Signature <br />I <br />jPremises Inspected: <br />i / yyyYYY C�2.. <br />Type of Building or property <br />Lccation or Address . <br />Items Inspected: <br />Items a - <br />P, ring to need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Form No. 424_001 _V <br />