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5637 <br />evereti THE EVERGREEN <br />CITY OF <br />DATE <br />everell <br />Le <br />Cin Eutt • EVERETT <br />CITY OF EVERETT <br />WASHINGTON 98701 <br />INSPECTION REPORT <br />Inspecting Departmen,. <br />License Electrical _._ Weights& Meas. <br />Fire Housing -- Engineering F <br />Building -- /j Plumbing <br />Inspectors Signature <br />F Premises Inspected: <br />{ Type of Building or property <br />Location or Address/A <br />Items Inspected: tV-� V,f_.,�' �-�^'�� O <br />Items appearing to need additional inspection <br />till <br />Cal <br />n7,. ^ / r- <br />X / <br />T . in attendance on the Premises, <br />certify that the above inspection was made., <br />t <br />Signal ur __f <br />Fmm No 424 001 <br />