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EeverettTHE EVERGREEN <br /> t: t)• Ofeverett Cs" HA II • EVE"" CITY OF EVERETT <br /> WASHINGION 99701 <br /> INSPECTION REPORT <br /> Inspecting Dtpartment: <br /> License -- <br /> Electrical Weights& Meas. <br /> Fire -- <br /> Housing Engineering <br /> Plumbing <br /> Building ,,'-'J//J <br /> Inspectors Signature <br /> =�' <br /> i Premises Inspected: <br /> 1 <br /> 1 Type of Building or property f <br /> Location or Address 1 _ — ---- <br /> Items Inspected: Y2 <br /> Items appearing to need additions'in�Pec <br /> m attendance on the Premises. <br /> I,. <br /> certify that�aboveinspection was made. <br /> Signature <br /> Fnvn No AIA-001 .�I <br />