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everett THE EVERGREEN 3 ? O 0 l <br /> CITY OF / <br /> everett DATE <br /> Cl" H111 • EVERErT CITY OF EVERETTT <br /> WASHINGTON 99701 <br /> INSPECTION REPORT <br /> Inspecting Department <br /> License Electrical Weights& Meas. <br /> Fire Housing Engineering <br /> Building .� Plumbing 6/JAS/ <br /> Inspectors Signature!i +���4 / <br /> I Premises Inspected. <br /> Type of Building or property <br /> Location or Address 111.0e O d �• <br /> Items Inspected: <br /> Items appearing to need additional inspection: •-~s✓� <br /> I•- -------- _ .In <br /> to on the Premises, <br /> certify that the above inspection was made. <br /> Signature <br /> f nrni Nn.424 001 ,fi <br />