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Backw�ter Preve��tiore Device <br />Rebate Increase Authorization <br />Property Address: 3913 Federal <br />City: Everett State: WA _ Zip: 98201 <br />Property Owner Name: Elrod <br />Email Address: UNK Phone: UNK <br />Contractor Company Name: PCS <br />Estimated cost of BWD Installation: $3,880.00 <br />Total Rebate Cost Authorized by City of Everett: 53.880.00 <br />Justification: 8.1 feet deep. Limited space. Fence removal needed to access <br />Reviewed By: Grant Moen 9/23/2015"'; ,_ <br />. � � � <br />Authorized By: ' �'c"����, " — -- <br />_ (. <br />Revised 9/10l14 <br />