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— ��c����v�D <br /> � DEC 2 ° 2U10 � <br /> �,, f�, � PUBLrc w <br /> ORKS <br /> P�RMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: 1,2 3z ��M y�•';-�� �z. <br /> Everett, lNA 98201 <br /> Phone Number: �f�6- "7EG - iylg <br /> I am an owner of the property described above. I give the Ciry of Everett and its <br /> contractor(s) permission to enter the property for the purpose of inspecting the <br /> prope,ty for the City of Everett's backwater valve program. <br /> I can be reached at the above phone numbers to schedule the inspection. <br /> Signature .,�%� �'""`^." <br /> PrintName C��'vU �ar✓� �. -_--- <br /> Return this form to: <br /> City oF Everett Public Works <br /> Backwaler Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />