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everett 3834 t� <br /> THE EVERGREEN <br /> CITY OF- <br /> everett DATE <br /> "IN CITY OF EVERET <br /> • sveetn <br /> WAT <br /> WASNINGfON 90701 ' <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License Electrical <br /> Weights& Meas. _ <br /> Fire Housing <br /> Engineering <br /> Building <br /> y Plumbing <br /> - <br /> Inspectors Signature✓ (�`���"✓T�'/ <br /> Premises Inspected: <br /> Type of Building or properly <br /> Location or Address A///6 <br /> Items Inspected: <br /> ---- ---.__ <br /> Items appearing to need additional inspertion: -- <br /> n attendance on he Premises, <br /> certify ,hat the above inspection was made. <br /> Signature <br /> Fnm, Nn 424 001 g <br />