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Y <br />evere" <br />THE EVERGREEN <br />CITY OF ` �o <br />everett DATE <br />arr rrou • fYrRrti CITY OF EEVERETT <br />WASNnwrON Y!]el <br />INSPECTION REPORT <br />Inspecting Department <br />License _ Electrical -_ _. weights& Meas. <br />Fire Housing _..____ Engineering <br />Building Plumbing <br />Inspectors Signature n.- <br />Premises Inspected: i <br />Type of Building or property C <br />Location or Address o g/G 0 C3 1L J I <br />Items Inspected &o -c U nl 1 ✓P.4"t^�-i i.�.. r _ /rJ C.. t ^ •. L. J�!c ..��.. <br />Items appealing to need additional inspection. <br />in attendance un the Premises, <br />certify that the above inspection was made. <br />Signaure <br />I un„ No 4J4 001 .V <br />