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D1JD <br /> 7 I, <br /> o 2 20 <br /> Pub r <br /> ,IT <br /> PERMISSION TO INSPECT <br /> (Backwater Valve Program) <br /> Property Address: / 3f RcA Q Qtr AVQ <br /> Everett, WA 98201 <br /> Phone Number: 41 L s a io ti / <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 /> • <br /> Signature 01 Q.►cc-a-�-c� <br /> Print Name f a rf iJi) Po r" <br /> Return this form to,_: <br /> n <br /> G-rofyi /°IOff'r <br /> City of Everett Public Works <br /> Backwater Valve Program <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br />