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4 r 13 <br />evereti <br />THE EVERGREEN <br />CITY OF <br />evereti <br />DATE Z%/-%� <br />Cl" HALL • EVEREn <br />CITY OF EVERETT <br />,e WRSHINGION 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. <br />Fire Housing Engineering <br />Building x Plumbing --- <br />Inspectors Signature — A4A?"VW _ <br />Premises Inspected: fn�J <br />Type of Building or property <br />Location or Address Z/ Z I - L I L <br />Items Inspected: <br />Ite s appearing to needadditionalinspection: <br />l / , in attendance on the Premises, <br />certify that the above inspection was made. <br />Signaturr, <br />Farr.. No 424 eel .y' <br />