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2812 EVERETT AVE 2022-04-14
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2812 EVERETT AVE 2022-04-14
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Last modified
4/14/2022 2:07:23 PM
Creation date
4/14/2022 2:06:54 PM
Metadata
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Address Document
Street Name
EVERETT AVE
Street Number
2812
Notes
BACKWATER VALVE
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. , . - . .. � . .. PAGE. 1/ Z .� � � <br /> Nov. 16.2014 01:29 PM 4252625874 P•3 <br /> Americen Seplic 3 Sewer i <br /> S <br /> � <br /> � <br /> f <br /> s <br /> �,�,� Backwate�r Preven pn Dovice Rebab ProQram <br /> �i�"�� Rebate pplloa4iun Form ; <br /> ,�.��„ <br /> . <br /> � , � ��.�,,�s <br /> p�nperty Ownar Nams:� y-, � � <br /> In9telWdon/bdresa:_ � r `,�' �. <br /> ��'{�'/ / SfaM: `'� 2ip;� S � � <br /> Ciry:� <br /> Mee+np Amreea(ndM►ere�U: S T E Y E M 1 L L I AM S. <br /> state. PMHTl�, 4320-198STS B <br /> °�" 1, YNNW`IOU ,�A 90036 <br /> Email: �tl� � <br /> 2 U�u F> . b z.- <br /> Tota�Coet to Inetall DaMaa(lrom oontrxto►� aaeJ:i �.�._r---- <br /> Phas v�rtfy th�fo�la+��0' <br /> � ownw ot 11+e property where the prevencon deviae wes in�tellad. <br /> — urltl�ntar d�Ihe�lNe C�eG�c on�tege dlnp pi� tbnQof Me asvblce w�ueml�no wrNon�levloe ane <br /> nlrada inswcled ms fwr b acaea�,i eot,end mednUM the device• <br /> kU�Daod noAdnp pdet.�M e IkK«InsWNA Ihe d1Y A8h�t-w8ynvanean ewioe and k�epinp <br /> If I sall my proDeAY��W��make patenW+l bu aNero 01 the Oackw�M prw�t�a�d��� <br /> tha,rfsed ro Iropect and maintain it an�reg Osa�s. <br /> Q'I am andoanp all o(th�naaeseery pepeN+u (uce lhe yeAaw Rebato Sub�itkl ChecMid). <br /> SNo hom fho Io1lowln0: <br /> Th� y�pector identlfiad Aovrttt{wuts or odi dralmye Yinos that werc o0nneded fo my aewer <br /> li (Cetween my house and Ihe inelolled dev e)end remo�rod.a rerouted them. <br /> To my Nnow�eAge� mY P'oPeKY hee no u1s or other dreinage ow+nec0ed tv my esww Ilne <br /> (between my houne and tha In41Whd Owlce� <br /> � There are dwrmPoule or oth�r dreinepa! oonnect�d ro my eew+r Il�e(belwe�n mN hous� <br /> arW tha inataMed devicep 1 unaersland Inpt n8�sas aonnec�a�s eceatae s rlsic oTAooGing <br /> aeW I aceept 1ha�Ask. <br /> , p.� �/ �j�y <br /> stye.ha. , <br />
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