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er <br /> pECIEOVE0 <br /> ti:)L"� WORKS <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: 1717 W2fl-y x,GJ <br /> Everett, WA 98201 <br /> Phone Number: (I, '.S - as a - K • y 3 <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 reach t the above phone numbers to schedule the inspection. <br /> Signature <br /> Print Name sset11 I0c,(eA.A,,t" <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />