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C <br /> EeveretlTHE EVERGREEN 296 <br /> CITY OF7everett DATE CITY HALL • EVENE❑ CITY OF EVERETT <br /> weSHINGEON 98701 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> J1'i_` License Electrical <br /> 3 I Weights& Meas. _ <br /> ue� <br /> Fire Housing Engineering <br /> ff' Building Plumb ng <br /> --j,, Inspectors Signatures,L <br /> J� <br /> Premises Inspected: <br /> t n <br /> er Type of Building or proper <br /> Location or Address <br /> hl1 I ' <br /> r T ' Items Inspected: <br /> 4t' Items appearing to need additional inspection: <br /> Lliv` ,n <br /> Sea! / 5 S e lJ <br /> in altenrLmre on the Remises, <br /> Certify Ihat the above inspection was made. <br /> rNu a!n 0111 p1 <br />