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B�ckwater Prevention Devic�e
<br /> � Rebate Program
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<br /> Vendor Section (please print):
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<br /> I ILe Ven�:r.r �gree tn rPre��m, Ihe li,i��.k;xilrr Preventior Device rebale r.heck dnecfry �
<br /> �_�• t'�e nstallalion r��ferenr,��r1 ��t �he F'�epetiq A�ldre:�y E3y ag•eeiny lo recen�� Ihe rebe�e �
<br /> � ��: �, dire;;tly. I a,�areu to thc� (ollo�v�ng�
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<br /> 1 "�iu Rtaskv::d�;i f'i�v�rnt��or, I;�,vice r«�hnte arr•cunt r:ill hc dedusted frurn (lit� f�n��l �
<br /> ���,, �,r �> g,ven tn t!iN I'roperty 0�::�ier lor the instal:alion a' tne Pio{u�rty Adcress
<br /> "�h�i��ncc�! nbove, ( th�� total cost o( U��� ui�;t.dl�oLon is graa�er than th�> reb;at�,
<br /> , , ilu� �/endni ar� .� Wa;hi�ialnn Stal�+ hr.Nnsr�l r.cmtractor
<br /> � i t��• City af i vcie�t �vill tiend tt Federr3l Furm '099 tvilSC 'u nu;, the Vrendr,r. (nr �
<br /> ,�n� i3,ickw��ler Prevrrnh�n �evir.e re;�ate poym��n:; tulalu�g rnnir� Ihan $600 pei �
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