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everett 3354 <br /> THE EVERGREEN <br /> CITY DOFF ��jy <br /> evereft DATE _1//'�/,�--- <br /> CITY NAIL • FVFRFrt <br /> WASHINGTON 9820, CITY OF EVERETT <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> r . License Electrical <br /> - -- Weights& Meas. <br /> Fire <br /> Housing Engineering <br /> Building Plumbing <br /> Inspectors Signature �jrj <br /> t <br /> Premises Inspected: <br /> Type of Building or property C'4— <br /> i <br /> Location or Address <br /> C•V L-r, <br /> Items Inspected: 1` <br /> Items appearing to need additional inspection: <br /> I -- -- ,in attendance on the Premises, <br /> certify that the above inspection was made. <br /> Signature <br /> form Nn 411 on, <br /> r; <br />