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1523 LOMBARD AVE 2016-01-01 MF Import
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1523 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 4:13:36 PM
Creation date
2/17/2017 4:13:25 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1523
Imported From Microfiche
Yes
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V /\ <br /> (� `<V :. <br /> . �v�l i .\ <br /> 1� <br /> ``�:., ''�`a � vC��: <br /> ��° ' /��. <br /> . �., tO�! �V., <br /> "�h /�,� <br /> , ` <br /> ��.',. <br /> PERMISSION TO INSPECT <br /> (Sewer Backwater Valve, Installation by Sewer L Construetion) <br /> Prope�tyAddress: � "��%�'� �n1�clJ'[� �VP <br /> Everett, WA 98201 <br /> Phone Number: �f"�5 ' 3 � �- g `��3 <br /> � <br /> Email Address: �i��� itij.c� � r � �t , �Q/v� <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 Everelt's backwater valve program. <br /> I can be reached at the above phone numbers to schedule the inspection. <br /> �' <br /> Signature <br /> Print Name ���,�- � I�z� `a "� � <br /> . � <br /> I Retum this form to: <br /> � Ciry of Everett Public Works <br /> Attn: David Voigt, P.E. <br /> 3200 Cedar Street <br /> FveretC, WA 98201 <br />
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