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Backwater Prevention Device <br />Rebate Increase Authorization <br />Property Address: 817 Rucker <br />City: Everett State: WA Zip: 98201 <br />Property Owner Name: a��o�c s�h��i� <br />Email Address: UNK Phone: UNK <br />Contractor Company Name: AA Plumbinq <br />Estimated cost,of BWD Installation: 4 63�i.08 <br />Total Rebate Cost Authorized by City of Evere:c�4,630.08 <br />Justificatioo: <br />In concrete driveway. 10' deep driveway, drainage modifications req, CI cover req. <br />Reviewed By: Grent Moen 9/1612015 –��;�"� -� <br />/. ; _, <br />Authorized By: �'���`- - � —� <br />r� <br />Revised 9l10114 <br />