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everett <br />,.e <br />THEEVERGREEN <br />CITY OF <br />everett <br />CITY HALL • EVERETT <br />WASHINGEON 95201 <br />DATE_-/ <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Inspecting Department <br />License _. ElectriGd Weights & Meas. <br />Fire __.._ Housing Engineering / <br />Building Plumbing �-+--- / <br />Inspectors Signature <br />Premises Inspected: c. /J <br />Type of Building or property Location or Address /61e) / ---7 <br />/ <br />Items Inspected:���- <br />Items opypeeaaring to need addi,.onal inspection: <br />AfiRtiMts7� <br />-)I It, LA) r.Jv- tti., <br />in attend;ulce on the Pntrnises, <br />certify that the above inspection was made. <br />Signature. <br />r rntan Ala 001 :4' <br />