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1511 LOMBARD AVE 2022-04-29
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1511 LOMBARD AVE 2022-04-29
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Last modified
4/29/2022 2:01:08 PM
Creation date
4/29/2022 1:57:11 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1511
Notes
BACKWATER VALVE
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j(�i' � <br /> ; U�� `_'�� �i <br /> Mq <br /> �, , <br /> J <br /> p �;, _,:-/G/;; <br /> ;. U��.�'�0 S � �, <br /> J��'.1�,� <br /> PERMISSION TO INSPECT <br /> (Sewer Backwater Valve, Installation by Sewer L Construction) <br /> Property Address: ��11 � 0 �'1 �� � 1� � A Ve . <br /> Everett, WA 982u1 <br /> Phone Number: ��-�' ���-" � U g 9 <br /> Email Address: <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 ir�specting 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 /> Signalure v�n,�� C�4-C; � • l�"�a.u� <br /> Print N�me l� e N j�7'L' � . I�� � l�1' <br /> Return this form to: <br /> City of Everett Public Works <br /> Attn: David Voigt, P.E. <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />
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