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E <br /> THE EVERGREEN <br /> CITY OF <br /> DATE �-- --- <br /> everett <br /> C1, HAn • EVFVFn CITY OF Et ER ETT <br /> WASHINGION 98701 <br /> INSPECTI(IN REPORT ' <br /> Inspecting DeparlmenC p <br /> License Electrical Weights R Meas. —_ <br /> Fire Housing �iEngineering <br /> Building Plumbing <br /> Inspectors Signature <br /> 4.Promises Inspected:�.1,/, ",,, <br /> Type of Building or proper!y <br /> Location or Address <br /> Items lnspecte• <br /> Items ap{ rmg.t,need add I it insl on: <br /> In auend,ulcc on the Premises, <br /> certify that the above inspection Was made. <br /> 11N. ( 2r-�-4. <br /> •A 001 P. <br />