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Backwater Prevention Device Rebate Program <br /> 'A►�a Rebate Submittal Checklist <br /> Submit your rebate packet within 90 days from the date the installation is inspected and <br /> approved by the city. Use this checklist to make sure that it includes all of the necessary <br /> materials. The items indicated [CONTRACTOR] will be provided to you by your contractor. <br /> Your rebate packet must include the following: <br /> [''Completed and signed Rebate Application Form (green) <br /> FT Completed and signed IRS Form W-9 "Request for Taxpayer Identification Number and <br /> Certification" (white) <br /> [ J Vendor Payment Option Form (purple) signed by you and the contractor IF you want the <br /> rebate check sent to the contractor. Otherwise, the rebate will be sent to you. <br /> Completed Backwater Prevention Device Final Installation Checklist [CONTRACTOR] <br /> I I Itemized invoice for the work, showing contractor name, address, license number and the <br /> detailed costs of installation and materials [CONTRACTOR]. <br /> n 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 />