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evereit <br />�e <br />Inspecting Department <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EMEn <br />WASHINGTON 95101 <br />4321 <br />DATE <br />CITY OF EVERETI <br />INSPECTION REPORT <br />License Electrical Weights & Meas. <br />Fire Housing __— Engineering <br />Building Plluumm,1btngg — <br />Insp'-ctots Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address 'Zat— <br />Items Inspected: �E. � t rv1 J - W Q' to <br />Items appearing to need additional inspection: <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature <br />roan No 424- 001 X7 <br />