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APPLICATION REQUIREMENTS/CHECKLIST 1 <br /> Items that will cause the application to be rejected <br /> ❑ If the applicant municipality is planning under the Growth Management Act (GMA) RCW 43.155.070, <br /> has compliance, as of July 21, 2011, with GMA been verified? <br /> Yes ❑ No [ 1 Don't Know Verify with your Planning Department <br /> ❑ Has the Applicant Certification form been read and signed by the appropriate authority? <br /> Attach original signed document. <br /> This must be signed in order for the application to be accepted for review. <br /> ❑ Has the Preparer Certification form been read and signed by the appropriate authority? <br /> Attach original signed document. <br /> This must be signed in order for the application to be accepted for review. <br /> ❑ Has the applicant adopted a policy to reduce greenhouse gas emissions? <br /> ® Yes ❑ No SEE GUIDELINES FOR DETAILS <br /> TITLE OF POLICY: City of Everett Climate Action Plan <br /> DATE OF ADOPTION: 5125111 <br /> ATTACH THE POLICY: ® Yes I I No <br /> IF NO, FORWARD BY NO LATER THAN 6PM AUGUST 4, 2011 <br /> Items/Actions to ensure a complete application <br /> ❑ Have you read the PWTF Application Guidelines? <br /> This document contains all the necessary information to assist you in applying for a PWTF loan. <br /> To download the current PWTF Application Guidelines go to www.pwb.wa.qov. <br /> ❑ Have all questions applicable to your type of system been answered? <br /> Unanswered questions receive no points. <br /> Submitted information will be verified by Public Works Board staff. <br /> ❑ Have you verified the accuracy of the Project Cost sum and the Project Funding sum? <br /> These figures must match and accurately reflect the sum of the costs and the sum of the funding. <br /> ❑ Is all relevant documentation (i.e., proof of other funding sources, regulatory orders, moratoriums, etc) <br /> attached? <br /> ❑ Has the application been reviewed by someone other than the person who completed the application? <br /> ❑ Have you made a copy, including all attachments, of the final, signed application package for your <br /> records? <br /> ❑ Applications and modifications (additions, removals, and substitutions) are allowed until: <br /> 6PM PST, July 21 , 2011 <br /> After that time, no further changes will be accepted. <br /> 3 <br />