3531 OAKES AVE 2022-05-04 - Laserfiche WebLink

BACKWATER PREVENTION PROGRAM 00 r INVOICE COST BREAKDOWN Please use this Invoice Cost Breakdown as a template for invoices submitted as part of the Backwater Prevention Device rebate program. Either this form or your own invoice form with the following line items can be submitted. This allows you to invoice your client according to your existing billing template while allowing city staff to identify how costs eligible for the Backwater Prevention Device Rebate were accrued. Only labor and materials directly related to the installation and function of a backwater prevention device are eligible for City rebate and therefore should be included on the upper half of this form. Additional costs may be added to bottom of the form. 5t'ckf-r LLC- Business Name: ��1-1 5'(119 License Number: Business Mailing Address: o2b G La r klit_ i0 k- 0 City State Zip Phone:gj(,P• riran-,�' de6eLL�f ('��7 Cate Administration Labor Descri tion Administration / management CCTV Inspection Units Hours Hours Quanti Rate _. Total gWV Install Hours Pipe replacement Surface restoration Hours Hours �O Site -cleanup __H---4ours ----- Downspouts / drainage imp. Hours _ Materials Backwater valve Per Unit Grinder pump Per Unit Side sewer pipe (up to 8 feet) Feet 11 rr Imported Backfill Yards Rentals Surface Restoration Materials to soil, lass seed, concrete._etc. Cover (irrigai on box or ad bearing cover Specify equipment Lump sum Per Unit Hour 7 c30 _ Fees Disposal fees by item Yards O`er Delivery fees if not covered by labor Eli ible Total Other Costs Costs lot associated with BWD, and not eligible for rebate detail belowL _ Ineligible Total 5 Total $ Revised 910312014 11-