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4 <br /> evere" THE EVERGREEN <br /> CITY OF q <br /> everett DATE,.e <br /> CITY HAIL • IVEaEn CITY OF EVERETT <br /> WASHINGTON 99201 <br /> INSPECTION REPORT <br /> Inspecting Dapartmcnt, <br /> License Electrical Weights& Meas. <br /> Fire Housing Engineering <br /> Building _1G Plumbing <br /> Inspectors Signature <br /> I Premises Inspected: <br /> a <br /> Type of Building or property <br /> Location or Address <br /> Items I nspected: <br /> Items appear}Qg to need additional inspection. ce.---.t <br /> "04 <br /> _ In aat0tend.Viceo(ry'tf F, nitir J, <br /> certify that the above inspection was made.(/� L1- `•��• ����'r <br /> "ev "A <br /> Signanuo <br />