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I <br />i_ Y.J i <br />everett <br />THE EVERGREEN <br />CITY OF <br />_ f <br />everett <br />DATE <br />CIn H:tl • EVEREn <br />CITY OF EVERETT <br />�e <br />WMM NGION 96201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electrical <br />Weights & Meas. —_ <br />Fire <br />Housing <br />Engineering — <br />Building <br />Plumbing , <br />Inspectors Signature <br />l <br />Premises Inspected: ,. � If i <br />Type of Build in <br />or propertyJlC� <br />Location or Address ��; d ' 7L_ <br />items inspected: r., C: A...` it a.}Cf S`i <br />Items appearing to need additional inspection <br />, in attendance on the Premises, <br />certify that the above inspection was made. <br />Signature - ..____.. <br />r nrrn Na 424 001 <br />1 <br />HE <br />