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BACKWATER VALVE REQUEST FORM <br /> E!/ ETT <br /> , <br /> i'1��c��� �L) <br /> , . ;�� <br /> � tri�i� 0 �� 2.�'v <br /> - - _ - -- --- - ---- _ - -- - -- - - - - — -- - <br /> -- - -- -- ------ -- — - __- - - - -- _ _ - -- <br /> ��� i�L�i �✓..:�.i:i <br /> . � <br /> Name Robert & Patricia Heavey <br /> add�ess 1126 Grand Ave <br /> Contact Phone #: 425-252-2713 <br /> e•maii addr.ss pattybobl@fron5er.com <br /> YES NO <br /> Experienced basement Flooding7 �_✓� � <br /> 4o�v many times? several times <br /> Return this form to: <br /> Backwater Valve Requesl <br /> Gty of Everett Public Works <br /> 3200 Cedar Street <br /> Everett WA 98201 <br /> or <br /> email to: everettpw@everett�va.gov <br />