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Backwater Pr�;vention Device Rebate Program <br /> Ret�ate Submittal Checklist <br /> Submit your rebate padcet within 90 days hom the date the installation is inspected and <br /> approved by the city. Use this checklist to make sure that it inciudes all of the necessary <br /> materials.The items indicated[CONTRACTOR)will be provided to you by your contractor. <br /> � <br /> Your �ebate packet must include the following: <br /> �Completed and signed Rebate Application Fortn (green) <br /> "[�Completed and signed IRS Fortn W-9"Request for Taxpayer ldentification Number and <br /> Certification" (white) <br /> �Vendor Payment Option Fortn (purple)signed by you a�d the contraGor IF you want the <br /> 7��rebate check sent to the contractor. Otherwise,the rebate will be sent to you. <br /> � Completed Backwater Prevention Device Final Installation Checklist�CONTRACTORj <br /> nZ( Itemized invoice for the work, showing contractor name,address, license number and the <br /> /~ detailed cosis of installation and materials[CONTRACTOR). <br /> �, Map of your property with location of the installed device[CONTRACTOR] <br /> When the packet is complete, mail or deliver it to: City of Everett,Attn: BWPD Rebate <br /> Program, 3200 Cedar Street, Everett, WA 98201. <br />