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g©ENED <br /> yg - <JAN 03 2011 <br /> PUBLIC WORKS <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: ��lXce / - - <br /> Everett, WA 98201 <br /> Phone Number: c/a 5 2 3 (J 2�3 0 <br /> 5 2 2 r'Oz <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 �l <br /> Print Name a-cdd G^L GG <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />