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Contractor Section: <br /> Vendor Name Business Name XUBI N�umber <br /> State of Washington Contractor License Number: <br /> Vendor Mailing Address city State Zip <br /> Phone Email <br /> 1,the Vendor, agree to receive the Backwater Prevention Device rebate check d|re��r�e <br /> �s��� �t��� ��no����a��� Bvogm�����i��edirectly for <br /> dinan�y. } agree tqthe following: <br /> ' ' rebate <br /> 1. The BackxvntarPrevention Device rebate amount will bededucted from the final invoice <br /> given to the property owner for the installation at the property address referenced aboveif <br /> the total cost ofthe installation iogreater than the rebate. ' <br /> 2. 1. the Vendor, nnnoWashington State licensed cortractor. <br /> 3. The City of Everett will send a Federal Form 1099 MISC to me,the Vendor,for Backwater <br /> Prevention Device rebate payments totaling more than $600 per calendar year, and will <br /> report the same payments tothe Internal Revenue Service. <br />