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Backwater Prevention Device <br />Rebate Increase Authorization <br />Property Address: 4007 Federal <br />City: Everett State: WA Zip: 98201 <br />Property Owner Name: Jennifer Selders <br />Email Address: UNK Phone: UNK <br />Contractor Company Name: A�ollo <br />Estimated cost of BWD Installa:ion: $3,779.67 <br />Total Rebate Cost Authorized by City of Everett: 53.779.67 <br />Justification: Install in concrete driveway at 5 feet deep ��5'-�>�c►-, . <br />0 <br />Reviewed By: Halle Kim6 II 21 0f15 <br />Authorized By: ~ �' � '�`-- - <br /><� <br />Revised 9110114 <br />