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JAN 1 0 2011 —� <br /> PUBLIC WORKS <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: 1 S C <br /> Everett, WA 98201 <br /> N Qcb wrt• i <br /> Phone Number: 4/Zs )' '3 pis—/cg i7 `- <br /> -6/2S) ZS67- ((..33o — (1,WvLe.r• <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 ELO44'4-c <br /> Pri Name f .e-wx J .Do to s wt, <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />