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in) <br /> JAN 3 1 , - a <br /> , ,,ii ,_.,, <br /> ...,-:/. Pup.r p.:--) 06-,-,------;: ;I <br /> 1/4.t„...,,,,,L-_--: y7,- , <br /> r <br /> :I* 4-'4 C Irpyr- <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: Ai43 2, L.b6Z617(..0G1� 1-VVe, <br /> Everett, WA 98201 <br /> Phone Number: ,t25. 2�1' s 2 7 <br /> *2S'' ii4-0 \.bl <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 /> Q <br /> 4( <br /> Signature 11' _..-- <br /> Print Name �C11,e1e-G <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />