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THE EVERGREEN <br />CITY OF <br />everett <br />cr,r lau • EVEREn <br />W AsrarlcraN 9E201 <br />Inspecting Department: <br />License Electrical <br />Fire Housing <br />5 3'I <br />DATE _( ,7 <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Weights Meas. <br />4-�I-� <br />Engineering <br />Building Plumbing <br />Inspectors Signature <br />Premises Inspected: <br />Type of Building or property <br />Location or Address- <br />---- <br />ItemsInspected: �i7 s` D ffw, <br />Items appearing to need additional inspection. <br />in anendancr. un the Premises, <br />certify that the above inslKctiun was made. <br />Siyn.num <br />r ,, , as .1:-1 nab .�. <br />