Laserfiche WebLink
Contraetor Seetion: <br /> . ,y(iLol�'�fr:n �vl�;� �,�-� Sir6�—�u1'/'f�C, ���6 <br /> Vendor Name/BuSiness Name!Ulll Number <br /> A�M� -����Q l�t_ <br /> Stale of Weshington Contractor License Number. <br /> � ��t L�ri� �1!�F . E�r��fF I,c)fl G?�.� <br /> Vendor Mailing Addiess Gry Slate 7ip <br /> iat�n_�n �nR,� C'._-��rlt�°r��c��,�,��� •cem <br /> Phorte Emalt <br /> i <br /> ,. <br /> I <br /> 1,the Vendor,eg�ee bo r�hw the Bedkweter Revention Devlte rebale cAedc diredly for lhe � <br /> tnstellaHon et tha above rvferenced pr�pedy addross.By agreeing to rcceive the rebale check <br /> ' �ireIXly,I ogree b the foDawinQ: <br /> 7. The Backvreter Prwent6on De�rehale amouni wdl be deducted irom tl�e final Involca <br /> given In Ihe propMy owr�at fo�No InSt911Ation af the piopMy aAd�osS rstaRnc�A Bbove,il <br /> �' Iho tohl�est e/f�e Irta�al�ation�is greater tAan lho rebslw � <br /> . 2. I,(ho Vendor,am a WeshGqta�Sptg IkOnxd con6acla. <br /> 3. The City of Eve�ett w�ll aend a Federal Fortn 7099 MISC�n rne,O1e Vendor,lar Iieckwnlar <br /> �• PrevAntion Device reData paymenb totelirg more tAan 5600 par ooienduyear,and wiil <br /> report tl�e seme payments to Me Intemal Revenue Senios. <br /> �� 1 aoospi IAa paymont aF 1he 6ackweter PrevenLon Duvite rebete frnm tl1e Cily at Er'erctt pellQing <br /> .. appmval ot Ihe campleled BadiWaMr Prevrnlion Devlce rebate package by Ihe Ciry oF Everett . <br /> / ! <br /> (�,''��- '� _�Q��' <br /> . Si9natureofGoiNacror Date <br />