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E <br />Inspecting Department: <br />License <br />THE EVERGREEN <br />CITY OF <br />everett <br />city RML • EVEIEn <br />W11SN'40'ON 98201 <br />5143 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical t�•5 Weights & Meas. <br />Fire Housing Engineering <br />Building — %P,lusm�b..i/ng <br />Inspectors Signature _��`'�'`�— - -- <br />Premises Inspected: 0cO " Nn" <br />C <br />Type of Building or property G+ e- J <br />Location or Address <br />Items Inspected: <br />Items aplx r t need additional inspection: <br />in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature _ <br />f non No 424 001 Y' <br />