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Backwater Prevention Device <br /> � � Rebate Increase Authorization <br /> Property Address: 1531 Hoyt <br /> City: Everett StalE: WA Z�p: 98201 <br /> Property Owner Name: vincen! earcott_ <br /> Email Address: UNK Phnne: UNK _ <br /> Contractor Company Name: American Septic and Side Sewer <br /> Estimated cost of BWD Installation: 53 596.58 <br /> Total Rebate Cost Authorized by City of Everett: S3 596.58 <br /> Justification: In paved drivewaY. CI cover req. Also 6' deeu. <br /> Revie�ved By: Grant Moen 311 712 0 1 5 ,- � � �-' �; <br /> � i <br /> l.'��t��'� � - <br /> Authorized By: ----_ —�__ --- <br /> Rc���s:;d 91i��'14 � <br />