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i <br /> i <br /> i <br /> i <br /> � <br /> i <br /> Contrector 5ection: i <br /> i <br /> C�ABING 8 SERVICE LLC!G02 950 f 17 f <br /> I VenJor Name I 5usiness I�ame I UBI Number � <br /> ICJSPLP591500 � <br /> IState of Washington Contraclor License Number I <br /> I552B 210TH AVE NE GRANITE FALLS WA 98252 I <br /> Vendor Nailing Pddress City State Zip j <br /> 360�691•5159 CJSPLUh1DIIJG��L15N.COI,A ! <br /> � <br /> t <br /> Phone Email � <br /> I <br /> --- -- � <br /> -- � <br /> I, fhe Vendor, agree to receive the Backwaler Prevention Device reta;e check directly for the <br /> mslailation at the above referenced property address. By agreeing to receive the rebate check <br /> directly, I agree to lhe following <br /> t The Backwater Preventwn Device rebate amount will be deducted from lhe final invoice <br /> given to fhe property owner for Ihe installation at the property address relerenced above, i( <br /> ihe tolal cost of the instailation is greater than the rebate. <br /> 2. I, the Vendor, am a Washington Stale licensed contractor. � <br /> 3 The City of Everetl will send a Federal Fonn 1099 MISC ro me, the Vendor, for Back�valer { <br /> �revenGon Device rebate paymeNs tolaling more Ihan 5600 per caiendar year, and will I <br /> report lhe same paymenls to the Internal Revenue Service j <br /> f <br /> I accepl the payment of lhe �ackwaler Prevcntion Device rebate Irom lhe Ciry of Everett pending � <br /> approval of the completetl Backwaler Prevention Device rebate package by the City ol[verelt ; <br /> � <br /> i <br /> (/�� - .G — —J4�� I <br /> re Co tracbr Oate <br /> ---- -- — - — I <br /> I <br /> r <br /> I <br />