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D <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HALL - FVFRFII <br />WASHINGTON 98701 <br />1"5195 <br />DATE <br />CITY OF EVER --TT <br />INSPECTION REPORT <br />Inspecting Department. <br />License Electrical Weights & Meas. _ <br />Fire Housing 4�— Engineering <br />Building Plumbirt?1 / <br />Inspectors Signature._--._�_._�JJ <br />Premises Inspected: <br />d <br />Type of Building or property - <br />Location or Address <br />Items Inspected: <br />��- <br />�t <br />Items <br />appearing to need additional inspection: <br />I•— _.___.____._._ , in atwndanr^ on the Premises, <br />certify that the above inspection was made. <br />Siynalum <br />rmm Nn 424 001 V <br />