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Backwater Prevention Device Rebate � ��� D - <br /> Rebate Submittal Checklist �A�' L' i i01� D <br /> PUL'LI:� '.. _ . '� <br /> Submit your rebate packet�vithin 90 days irom the dale the installation is inspected and <br /> approved by the city. Use this checklist to make sure that it includes all of the necessary i <br /> materials The items indicated �CONTRACTOR] will be provided lo you by your contracfor. � <br /> i <br /> Your rebate packet must include the following: <br /> '{�Completed and signed Rebate Application Form (green) <br /> ��Completed and signed IRS Form W-9"Request for Taxpayer ldentification Number and <br /> Certification" (white) <br /> � Vendor Payment Option Form (purple)signed by you and the contractor IF you �•+ant the <br /> rebate check sent to the contractor Othenvise, the rebate will be senl to you. <br /> �Completed Backwater Prevention Device Final Installation Checklist �CONTRACTORJ <br /> I� Itemized invoice for the e�ork, showing contractor nar-ie, address, ficense number and the <br /> detailed costs of installation and materials �CONTRACTOR�. <br /> �Map of your property wilh location of the installed device [CONTRACTOR� <br /> V`�hen the packet is complete, mail or deliver it to City of 6verett, Attn: BWPD Rebate <br /> Program, 320D Cedar Street, Evcrett, WA 98201 <br />