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BACKWATER VALVE REQUEST FORM <br /> 111111,Amiae.. <br /> 2 <br /> PUBLIC WORKS <br /> Name am S <br /> Address )--?j Oc Ca I S ' <br /> Contact Phone #: (--(P S-4-q ®S l <br /> e-mail address <br /> YES NO <br /> Experienced basement flooding? X n <br /> How many times? <br /> Return this form to: <br /> Backwater Valve Request <br /> City of Everett Public Works <br /> 3200 Cedar Street <br /> Everett WA 98201 <br /> or <br /> email to: everettpw@everettwa.gov <br />