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D <br />Inspecting Dapartment <br />License <br />THE EVERGREEN <br />CITY OF <br />everett <br />CITY HAIL • EV[Rfn <br />WASHINGTON 4800I <br />DATE —, <br />CITY OF EVERETT <br />INSPECTION REPORT <br />Electrical Weights & Meas. <br />Fire Housing Engineering <br />fll IV C.I- <br />Building . PH !031 <br />-,/� <br />Inspectors Signature _ .I 6d-:AAw /l <br />i Premises Ir•;pected: <br />I Type of Building or property .:; R<" �� n0 /% �i"� «' L" <br />I <br />I Location or Address <br />Items Inspected: �/�/P J. lc C. C <br />Qf <br />C1 L�Jc .. 7- �. <, f C— r t� z Kam,: (� e) <br />Items appearing to need additional inspection: <br />Ostia <br />I•- � ;L-- , in attendance on the Premises, <br />certify that the alwve inspection was made. <br />Signature <br />T nrrr• Na 414 001 YT <br />