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everett <br />�e <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EVrEEn <br />WASHINGTON 99201 <br />DATE —2" Z <br />CITY OF OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights &Mess. <br />Fire Housing . _ - _ Engineerinq <br />Building Plumbing — <br />Inspectors Signature^'- <br />Premises Inspected: L.ti'�'��� <br />Type of Building or property <br />Location or Address <br />Items Inspected: ",, C 1.3XW <br />Items appearing to need additional inspection. <br />in attmldance on the Premises, <br />certify that the, above inspection was made. <br />Slgnatulc <br />I i.. '`,, .1:4 1101 <br />