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evere" THE EVERGREEN <br />CITY C'F <br />everett <br />�e CITY NAIL • tMEn <br />WASNINGION 99201 <br />204 <br />DATE <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department: <br />r <br />License Electriul Weights& Meas. _ <br />Fire __ Housing -- Engineuing _ <br />Building i/ Plumbing <br />Inspectors Signature <br />Fromises Inspected: <br />Type of Building or property <br />Location or Address <br />Items Inspected: <br />Items appearing to need additional inspection: <br />r� <br />in attendance on the PremisFs, <br />certify that the above inspection was made. <br />Signature <br />Farm No 424 001 X <br />