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1321 LOMBARD AVE 2022-04-29
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1321 LOMBARD AVE 2022-04-29
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Last modified
4/29/2022 11:56:16 AM
Creation date
4/29/2022 11:53:32 AM
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Address Document
Street Name
LOMBARD AVE
Street Number
1321
Notes
BACKWATER VALVE
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��C� �o`����i� �i <br /> t9r�Ri0 "L011 �1 <br /> FULLIf' "t.j/r�,r2 ;,c.� <br /> PERMISSION TO INSPECT <br /> (Sewer Backwater Valve, Installation by Sewer L Construction) <br /> Property Address: � �J2� LDIMk�{� �'�� <br /> Everett, WA 98201 <br /> Phone Number: � �� �5� �� 3$ / �`ZS 3�g � I� <br /> ! <br /> Email Address: �11(Ginn tnea/(��►'��^Oo.Goh'1 <br /> .l <br /> I am an owner of tl�e property described above. I give the City of Everett and its <br /> contractor(s) permission to enter the properly for the purpose of inspecting the <br /> property for the City of Everett',; backwater valve program. <br /> I can be reached at the above phone numbers to schedule the inspection. <br /> Signature �-t^-�— �/ <br /> Print Name {�"l(�A1P�'1 I��� <br /> Return this form to: <br /> � City of Everett Public Works <br /> Attn: David Voigt, P.E. <br /> 3200 Cedar Street <br /> [verett, Wc1 98201 <br />
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