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Contractor . <br /> usiness Na-m—? <br /> Vendor Name B e//"UBI Number <br /> State of Washington Contractor License Number: <br /> Vendor Mailing Address city State Zip <br /> Phone <br /> Email <br /> |. the Vendor,agree toreceive the Backwater Prevention Device rebate check direot�forthe <br /> ���� ��ab���� P����;�. ������ r���e ' �� <br /> d�ecdx. { agree tothe hoUovvng: ' ' rebate <br /> 1. The Backwater Prevention Device rebate amount will badeducted from the final invoice <br /> given tothe property owner for the installation sdthe pnopedvoddn»sare��nen��dabove ifthe total cost ufthe inctaUetioniogreater than the rebate. ' ' <br /> 2. |.the Vendor, omaWashington State licensed contractor. <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 b}the Internal Revenue Service. <br />