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E <br />THE EVERGREEN <br />CITY OF <br />everett <br />CIr,r MALL • EVER(" <br />WASHINGION 96701 <br />7 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Depar tmenc <br />License <br />Electrical Weights & Meas. <br />n <br />Fire <br />Housing Englneerl 9 -- <br />_ <br />Building Plumbing <br />i e.a-• — <br />inspectors Signature —1 <br />Premises Inspected: <br />Type of Building or property <br />Location or Address <br />rn: 1 <br />hems Inspected: J1 elk, <br />Qi1 C1... Ir in.re. ,� �+I� n'� Itl t1. V. �. ;e. r1,.. �.• �, <br />Items a{ anng to need additional instion: <br />in attendance on the Premises, <br />certify that the above ins{Iechon was made. <br />Signatulr, <br />r �„>m 474 001 -v <br />