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o ���U �,� <br /> ���� 032011 � <br /> PUgLI� u'oRK c <br /> +r, <br /> a: <br /> PERMISSION TO INSPECT <br /> (Sewer Backwater Valve, Installation by Sewer L Construction) <br /> Property Address: 1.310 �aml3�Yk�,o K►vC <br /> Everelt, WA 98201 <br /> �{ Zs - 35s , �474 - �ao�.� <br /> Phone Number: �F� s- asa - So9� - �c <br /> Email Address: 1,15L. v3�� -<'rc,n�ier_ urn� <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 /> property 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 �__`�� �eu.uuN�c�. �V F1 N l7�lJSL--N> <br /> PrintName �is �_� . �51Vr� (v,a-,•� �tvs�> <br /> � Return this form to: <br /> City of Everett Public Works <br /> Attn: David Voigt, P.E. <br /> 3200 Cedar Street <br /> Everett, �NA 98201 <br />