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everett 3331 <br /> THE EVERGREEN <br /> CITY OF <br /> everett DATE - <br /> Cof eAu • EVERM CITY OF EVERETT ------r— <br /> WASHINWON 9820! <br /> INSPECTION REPORT <br /> Inspecting Delutriment: <br /> -,. ., License _ Electrical Weights& Meas. <br /> Fire Housing Engineering <br /> i <br /> Building L� Plumbing _ <br /> !k Inspectors Signature <br /> I <br /> Premisos Inspected: <br /> Type of Building or property �7�t-���•'t. I' <br /> Location or Address G Ir7 <br /> Items <br /> Inspected: <br /> Items appearing to need additional inspection: <br /> I• ••'� !G'�� ,i, attendance on the Premises, <br /> certify that t e above inspection was made. /• <br /> Signature <br /> Fnrm No_424 -001 .b <br /> P <br />