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5123 WOODLAWN AVE 2022-05-18
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5123 WOODLAWN AVE 2022-05-18
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Last modified
5/18/2022 8:35:11 AM
Creation date
5/18/2022 8:30:20 AM
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Address Document
Street Name
WOODLAWN AVE
Street Number
5123
Notes
BACKWATER VALVE
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• <br /> grrBackwater Prevention Device Rebate Program <br /> Rebate Submittal Checklist <br /> Submit your rebate packet within 90 days from the date the installation is inspected and <br /> approved by the city. Use this checklist to make sure that it includes all of the necessary <br /> materials. The items indicated [CONTRACTOR] will be provided to you by your contractor. <br /> Your rebate packet must include the following: <br /> krA Completed and signed Rebate Application Form (green) <br /> rI Completed and signed IRS Form W-9 "Request for Taxpayer Identification Number and <br /> Certification" (white) <br /> 4R--Vendor Payment Option Form (purple) signed by you and the contractor IF you want the <br /> rebate check sent to the contractor. Otherwise, the rebate will be sent to you. <br /> e <br /> ,a Completed Backwater Prevention Device Final Installation Checklist [CONTRACTOR] <br /> IN Itemized invoice for the work, showing contractor name, address, license number and the <br /> detailed costs of installation and materials [CONTRACTOR]. <br /> ►_4 Map of your property with location of the installed device [CONTRACTOR] <br /> When the packet is complete, mail or deliver it to: City of Everett, Attn: BWPD Rebate <br /> Program, 3200 Cedar Street, Everett, WA 98201. <br />
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