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everett 21.4 2 <br /> THE EVERGREEN <br /> CITY OF <br /> everett DATE <br /> cin "u. • EIEIIEn CITY OF FVERETT <br /> W6SHINGION 96701. <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License Electrical Weights& Meas. <br /> Fire Housing __ Engineering <br /> Building —_ Plumbing <br /> Inspectors Signature <br /> r r, <br /> r Premises Inspected: 1's- S f /O (Q <br /> Type of Building or property <br /> Location or Addres19 �t <br /> Items Inspected: <br /> �r � <br /> p c I !t� Q Cc s� W O/ �% P <br /> Items appearring1lo need additional inspire : ,,,,// <br /> in attendance on the Premisrs. <br /> certify that the above inspection was made, <br /> Signature _ <br /> Pnrrn Nn 474 001 k <br />