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AV <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Address: of Y/ 41C/0,- eke- <br /> Property <br /> Everett, WA 98201 <br /> Phone Number: 1:79/-3', ? 5-"° O‘ 2. <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 pa,...4e,,,,,_Print Name n�'61146v44f� , rnem 1 <br /> iI4„d 5 e 4es, Z <br /> Return this form to: <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />