Laserfiche WebLink
Contractor Section: <br />CJ'S PLUA481NG 6 SERVICE LLC / 602 950 i t 7 <br />Vendor Name I Business Name I UBI Number <br />CJSPLP59150D <br />State of Washington Contractor License Number. <br />5520 218TH AVE NE <br />Vendor Mailina Address <br />360�691 •5159 <br />Phone <br />GRANITE FALLS WA <br />Ciry <br />CJSPLUMBINGGh1SN.00!d <br />Email <br />sezs2 <br />State Zip <br />I, Ihe Vcndor, agree lo receive the 5ackwater prevent�on Devlce rebate check diredly for the <br />installalion at the above re`erenced property address �y agreeing to receive ;he rebate check <br />direc;ly I agree to the follovrng: <br />t The Dackwater Prevenhon Device rebale amount will be deducted from the f�nal invoice <br />oiv�n �O the prOperty OwnO� for the inslallation al the property address referenced above, if <br />Ihe total cost of the installat�on Is greater inan the reba;e <br />2 I, the Vendor, am a VJashington State licensed contractor. <br />3. The City of Everett w�ll send a Federal Form 1099 MISC lo me, the Vendor, for Backwater <br />Prevention Device rebate payments totaling more than 5600 per calendar year, and wdl <br />report the samc paymenls lo lhe Intemal Revenue Service <br />I accepl the payment of the Backwater Prevention Device rebale Irom the City o( Everett pending <br />apUroval ol lhe complelcd Backwater P�evenGon Dewce reba,e par.kage by the City of Everell <br />fDC�-%�/5�- <br />Date <br />u <br />