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everett 5003 <br />THE EVERGREEN <br />CITY OF <br />everett DATE�.e ^ Z _� <br />CITY HAII ' FVFRFTT CITY OF EVERETT <br />WASHINGTON 9e101 <br />INSPECTION RFPCRT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building Plumbing / <br />Inspectors Signatures A"�+ <br />Premises Inspected: /� • ��_C-�—rc✓( <br />Type of Building or property v� •/ 1-�'�"-1' <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />�� 6 in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />Fonn No. 424 00I .9 <br />