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Backwater Prevention Device <br />Rebate Increase Authorization <br />Property Address: 522 Colbv <br />City: Everett 5tate: WA Zip: 98201 <br />Praperty Owner Name: Joseoh Munn <br />Email Address: UNK Phone: UNK <br />Contrector Company Name: American Septic and Side Sewer <br />Estimated cost of BWD Installation: $3,854.76 <br />Total Rebate Cost Authorized by City of Everett: 53,300.00 <br />Justification: Within driveway area. Requires asphalt work, and CI cover. <br />Reviewed By: Grant Moen 1I15/2015 <br />Authorized By: ' i 9'��Z <br />V <br />Revised 9/10f14 <br />