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1306 LOMBARD AVE 2022-04-29
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1306 LOMBARD AVE 2022-04-29
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Last modified
4/29/2022 11:42:14 AM
Creation date
4/29/2022 11:38:14 AM
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Address Document
Street Name
LOMBARD AVE
Street Number
1306
Notes
BACKWATER VALVE
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�— r�r' <br /> - ID�15�I��V I� i ;, <br /> �� P�AR C � 2011 L <br /> - PUBLIG' �%;��.' <br /> PERMISSION TO INSPECT <br /> (Sewer Backwater Valve, Installation by Sewer L Construction) <br /> Property Address: / 30� La�Gc��d �vt- <br /> Everelt, WA 98201 <br /> Phone Number: ��- 2SZ- �� Z�� <br /> Email Address: rL�rJcr�-. I I (cJ cs. �s� <br /> I am an owner of the property described above. I give the City of Everett and its <br /> contractor(s) permission to enter the property for the purpose of inspecting the <br /> properly for the City of Everett's backwater valvc program. <br /> I can be reached at the above phone numbers to schedule the inspection. <br /> � <br /> Signature � -_-_ <br /> � � <br /> Print (Vame Kol1��-� A �>'Jo�� <br />� <br /> Relurn this form to: <br /> City of Everett Public Works <br /> Attn: David Voigt, P.E. <br /> 3200 Cedar Street <br /> Evere,tt, WA 98201 <br /> � <br />
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