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everett <br />�e� <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HULL • EVERER <br />WASNINOTON VR201 <br />DATE <br />- <br />CITY OF EVER FTT <br />INSPECTION REPORT <br />Inspecting Department: <br />License _._. Electrical V 7-7 Wei7hts& Meas. <br />Fire Housing Engineering <br />Building Plumbing <br />Inspectors Signature - / t_ <br />i <br />Premises Inspertal: <br />Type of Building or property <br />Locatior, or Addrrss - (5 q <br />j <br />Items Inspected. <br />Items Affl ,Iriful to need dddlhon.d I I%Pf" tiun <br />r . <br />on the Premises <br />eerlify that the abOW! In%lw!ct10o Was ❑lafle. <br />S,,I l,b.,n. <br />