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y <br /> PERMISSION TO INSPECT <br /> (Backwater.Valve Program) <br /> Property Address: t 903 on►tE S AJ r✓ <br /> Everett, WA 98201 <br /> • <br /> Phone Number: o.S-3 q 6-id ui, <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 /> 0` <br /> Signatu t <br /> Print Name OK C(I n- /A ot G1tj <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />