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TECr <br /> i- v� <br /> 2011 D <br /> PUBLIC WORKS <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: / ©5 oo4, <br /> Everett, WA 98201 <br /> Phone Number: Z� a5 ca '-5 33 / ( / ) <br /> - 1131 CIA) ) <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 "" <br /> Print Name MC aun vi‘il� vl <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />