Laserfiche WebLink
f �r <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: / c-o I <br /> aiic.Q..4 <br /> P � <br /> Everett, WA 98201 <br /> YKS. eoLf <br /> Phone Number: ZS�� 3 I I Z ` �- Q <br /> 4-17 Zs-1—cr? © wu er- <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 .•, )d 0 v <br /> Print Name b uc/ew-c . Do s ei. <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />