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evereri THI. EVERGREEN <br />CITY Of <br />everett DATE_ <br />CITY HAU • tvulll CITY OF EVERETT <br />,e WASHINGION 9001 <br />INSPECTION REPORT <br />Inspecting Department: <br />License Electrical Weights & Meas. _— <br />Fire Housing Engineering -- <br />Building -- Plumbing <br />Inspectors Signature <br />Premises Insimcted: <br />Type of Building of pnlpetty. <br />Location or Address / - <br />Items Inspected. / <br />Itnns rq/learing to m�.ed additional Ins{eetiun. <br />I...� ��/i���" ��t apt dance un 1hIPnnniuus. <br />certify that the above inspection was made. <br />Signature <br />1...... N,. A?a 001 .li. <br />