Laserfiche WebLink
i <br /> . 11J'tAI:Qa!minvMoesn�rhldcarCdeni(rnll�loa,G�ovNcyour�hlclelNamaUo.i: �E� .--- " <br /> , lCeleh'w Nde Hodel Ynv <br /> [V7rn4N�u:r (lAr(s'If[nrcA'o. .-.__'.NJ�.U�Out,<N,>)(lfrL/Mmfbon�hi.rr) '___.� <br /> . parvr'tlnw.9nceQuip+nY —'----' IMsxM1a �:ryh'� <br /> ' R.��anrcs�edOicssCS dnl hlcplvme num6crs c!a7(!ermns Immh+al In m wlln�v lo tlds lnddent: <br /> __KrislatecLouest22:i1_Rocke(elli:r_C-v�mll,!NL�992Il1_�25➢_1.9.3fzc2DG_9D9s7BZL_. _ <br /> Amber f orresl 2231 Rouku(eller f_vernit,WA 98201 425-250-19�6 c 20G•909-0527 _ ,_ i <br /> 13.t7ame;,oJJr��eas mul h•kpfwne num!n:rs N oll Clly of Fvrlclt crtp4yee,havinp knowledge a1wN INs Intltlen`. , <br /> City clerk when I asked for Ihe form. <br /> _s:onlacL.h�egtuu.P_embrnkc:,pu�lici�ilflcmati�ullrecSor,�12i25Z:8687- _-----.- <br /> M�rla C2rfor n��bllc wo;lcs E�ublir,inf�rmalion tnana�e�425-257-8875 __ __ _ , � � <br /> I; Namcs, nJAre:ses end tc'cphnre:numbcr,of�il Ind:dJunls not akri;H Idemltled In M12 ar.d L'13 a6nve who 6avc knor,icdqe � <br /> rMardlay Ihe IiaLl4ly Issucs Invnivrd In IFL^ Intldrnl, or YnoMeC9e nI I�e ClalmunCs rtevl;�uy �Nma9e5. FNa;c InduAc a Ixlct ! <br /> Acsnip7on a,lo the naNre anJ rxten[a!cach p�'rswi s knrnvlydgr.. AttaCi addlelaual tice�I(nete;sary. �, <br /> .�yt���r �v_S���ha�s�nswd fILe�YesetLCii�counclLa�n�sm_r.ecLty.ecine.ul�Y._S�RL1Llhailhe cily will <br /> resolve ali ro�srniable ciaims releled fo recenl heavy rain slorms. Many Fvoroll homos an� businesses i <br /> wore (looded during two heary rein slornis on Aug. 29 and Sepl. 6. _ ___ i I <br /> . 1i.DeSatW Ihe co�¢e of ihe Injury or dunages 6plaln Ne olmt ot{�cperty los.or medkai,plp•sicnl ut mental In}�des. /dtxh I 1 <br /> a40�Umr�l shcc6l!nercssary. <br /> I <br /> Llasemenl(lood�cl during hea�� ray ill Slqrms. Items In base�ier t were d�tTla9"d and needod <br /> lo bo w�sle transfcr station. � <br /> Would rnllicr have nol h�d to haul away Iloodod mutetials and�luan basemenl duo to Iloodinq. <br /> If a 6�ckwalnr valve had boon In lap co thls Ilooding of my_basemenl would not havf: occurecl_._ <br /> I �vould lilco a backwaler valve installed on m sew�r line. ___ __ _. <br /> ' 1G.Itns ihls mckent been reported to�w nnfnrrnnr.�it,sahry or ucu0ry neminnel? tf se,when and to w1wn7 <br /> 118 <br /> 17,Naineg ndJrtfscs anA tclephonc numlurs o'trcul6q nrdiwlµroWJc�s. Nhd�w�Aes of nli mirc:lcal rt�{nnL auJ billlny:. <br /> f1H ____ ___ -- <br /> 10.Weau attarh do¢imenu tlial su��Cort tlic dahrls atleg�tkins. <br /> 19JdalniJainapc;l�a��Ihc(71y��CvciUllnlAr.sumors_.._T�I) ���ouldli<aabsick�vat�roalvelnslnllc�d. <br /> Ihls dal�n lorm must hc clpnrd Ly dt�cr Ihe qulmant o�on 6cha:f of Ihrlliman:try an�alumry-In fatt�+A�o hold,o wnUm�wcr el <br /> nitomcy for Ihc UONwnt,m try an al�nmcy at low nJm11mA[o O�xlY.c M lhc Slatc of Washinqton,or by a caulbapprorM pvaNian or <br /> gu.xAlun aA Illrin. <br /> � f Attlare undc pewlrynl perjmy undet ihc lin^�el lhc SWIc o(Wushl:x,�w�Ilul thc lorrc�atnd L Inie and mrti�:l. <br /> ----�--'--__._ <br /> -7� � ��---�___� 0912312013 E��,�ou wn <br /> —`- — __— <br /> � Slyiature of Clalrom�t boto Placo sigimd(dly and slntu) <br /> u��� ovwo <br /> ��� <br />