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EVERGREEN <br />CITYOFevC- <br />1ieverettTHE <br />ett <br />DATEct, <br />"" • FVrREr <br />CITY OF EVERETT <br />14SHINGION 98201 <br />INSPECTION REPORT <br />Inspecting Department: <br />License <br />Electrical weights & Meas. <br />Fire <br />Housing — Engineering — <br />Building P"n" g <br />Insper.'.ors Signature <br />promises Inspected: <br />Inspected: <br />Type of Building or property <br />Location o1 Addresssi•—_��_______-_----- <br />Items Inspecte(d,:nr�� � W ZOA et(J l_c <br />Items appearing to need additicnol inspection: <br />W-r-ink k,�: i. <br />in attendance on the Premises• <br />certify that the above inspection was made. <br />Signature <br />F+vm Nu 424- 001 11 <br />