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evere" THE EVERGREEN <br /> CITY Of <br /> everett DATE — <br /> Cly HALL . EVEIIEti CITY OF EVERETT <br /> Le W 4SNINGtON 98701 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> Meas. <br /> License Electrical weights& — <br /> Fire Housing Engineering <br /> Building ---- Plumbing <br /> Inspectors Signatu-e_ <br /> - Premises Inspected: <br /> n I <br /> Type of Building or Property QC crS r <br /> Location or Address 3 re <br /> Items Ir pected: <br /> items-�•iring to need additional inspection. <br /> KB I( -,a Tone✓ <br /> Lo <br /> in attendance on the Premises, <br /> certify that the above inspection was made. <br /> Signature <br /> Farm No 414 001 <br /> .j <br />