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everett 4761 <br /> THE EVERGREEN <br /> CITY OF <br /> everett DATE14) <br /> �Ne Clrr 11Al, • SVrVrn CITY OF EVERETT <br /> WAS"NOTON 94101 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License Electrical _ Weights& Meas. <br /> I I <br /> Fire Housing Engineering <br /> Building Plumbing <br /> Inspectors Signature <br /> Premises Inspected: f <br /> Type of Building o1 property <br /> Location or Address D o too`/ "r <br /> U-- <br /> Items Inspected: A�`✓tR <br /> ARE, <br /> Item a�p so need additional ipspection:/�/ <br /> in attendance on the Premises, <br /> certify that the above inspection was made. <br /> Signature <br /> Farm No 124 001 X <br /> YVf(l �(I S!1 <br /> 1 <br /> Y <br />