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d/ �~t R <br /> S :.'::z.vit!,,,,,,,,, ,e,„/,,.,, <br /> "'� .It <br /> o�.��� i'tc �0p�7 <br /> b V �'r <br /> * /Ob.k. <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: 16 j; Rce'n,kT )-ve- <br /> Everett, WA 98201 <br /> Phone Number: 1425 — 773 — 5 2 7 <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 ( ,,--,,, — / z� <br /> • <br /> Print Name 56- 9.= — t aI,,`d ,a(e <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />