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i <br /> e <br /> everett 5165 <br /> THE EVERGREEN <br /> CITY OF <br /> everett DATE. �Gs 2L - <br /> -71 <br /> ili,e <br /> CITY Iau • EVEREP CITY OF EVERETT <br /> WA iNINGTON 98201 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License __ Electrical Weights& Meas. _ <br /> Fire __ Housing __ Engineering <br /> Building Plumbing g-- <br /> zInspectors SignatureIz _ <br /> Premises Inspected: <br /> /v <br /> Type of Building or property C--e'��""'►^ •D Ij <br /> Location or Address -//J ,�}/ T• 1' <br /> Items Inspected: +– CnA J.Q + CIA -- i <br /> Items appearing ton:•r additional inspection. <br /> fid - <br /> wir <br /> in attendance on the Premises, <br /> certify that the abovt inspection was made. Signa4a4--Z��— <br /> - <br /> Fono No.424 001X <br />