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� <br />Backwater Prevention Device <br />Rebate Increase Authorization <br />Property Address: 629 Wetmore <br />City: Everett State: WA Zip: 98201 <br />Property Owner Name: Paul and Marie Smith <br />Email Address: UNK Phone: UNK <br />Contractor Company Name: AA Flumbinp <br />Estimated cost of BWD Installation: $3,630.90 <br />Total Rebate Cost Authorized by Lity of Everett: $3,630.90 <br />Justification: <br />10' deep in concrete walkway. CI cover req. <br />Reviewed By: Grant Moen_ 1/YD'� <br />� <br />Authorized By: _ �''-- <br />C <br />Revised 9/10114 <br />