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1409 LOMBARD AVE 2022-04-29
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1409 LOMBARD AVE 2022-04-29
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Last modified
4/29/2022 1:26:30 PM
Creation date
4/29/2022 1:23:45 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1409
Notes
BACKWATER VALVE
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\ <br /> ����� <br /> � ����� i <br /> ��-!,�?r����� 0 t ���� ��,. <br /> :�.�(l � <br /> I � � <br /> � "..�.,�[1 <br /> PERMISSION TO INSPECT <br /> (Sewer Backwater Valve, Installation by Sewer L Construction) <br /> Property Address: <br /> l�' G � L- �,.w 5,.,• � ��� .e. <br /> Everett, WA 98201 Evan Claylon <br /> �q09�ombard Ave <br /> . Everetl.WA582U1 <br /> Phone Number: ��C'Q�) C� `l0 —G % 0 �/ � ". <br /> S ��c� �< /ti 7G ��� �p�,� . l . c �'^-� <br /> Email Address: , <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 properry for the purpose of inspecting the <br /> properry for the City of Everett's backwater valve program. <br /> I can be reached at the above phone numbers to schedule the inspection. <br /> Signaturelw <' . �L � "�—� �` <br /> Frint Name EV�,�- J�� c C C�,v fcr j �-- <br /> � <br /> Return this form to: <br /> City of Everett Public Works <br /> Attn: Da•did Voigt, P.E. <br /> 3200 Cedar Street <br /> Everetl:, WA 98201 <br />
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