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evere" THE EVERGREEN 3109 <br /> CITY OF // <br /> everett DATE - x 9 <br /> �.e <br /> CM ruu EVEEFn CITY OF EVERETT <br /> WASHINGTON 90201 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License Electrical Weights 81 Meas. <br /> Fire Housing Engineering <br /> Building Plumbing <br /> ?;- Inspectors Signature .fe�fw/"�'/ <br /> Premises Inspected: <br /> Type of Building or property <br /> Location or Address " r <br /> Items Inspected: <br /> Items appearing to need additional inspection: <br /> n attefidance on the Premises, <br /> certify that t w abov�eyi}n�s�q:�ct�ion�was made. <br /> Signature <br /> form No.474--001 .8 <br /> r <br />