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� <br />Backwater Prevei�4ion Device <br />Rebate Increase Authorization <br />Property Address: zi31 virqinia ave _ <br />City: Everett State: WA _ Zip: 98201 <br />Property Owner Name: Blane and Donna O'Brien <br />Email Acidress: UNK Phonc: l'NK <br />Contractor Company Name: American S�ptic and Side Sewer <br />Estimated cost of BWD Ins4allation: ; 3,50J.00 <br />Total Rebate Cost Authorized by City of Everett: 53,500.00 <br />Justification: <br />BWV install is -10' deep. <br />Reviev�ed By: Halle Kimball 8117J2015 � <br />�. ,, . <br />Authorized By: ,• �•�. - -- - <br />.,, <br />1 <br />� <br />Re��ised 9110114 <br />