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w: <br /> , s <br /> ' �--. ,..�.,, , <br /> everett <br /> �� REFUND AUT}IORIZATION <br /> ^ <br /> �`��� <br /> . _ � __ __ .. _ <br /> � <br /> To : City Treas•urer Date_ 8/4/94 <br /> You are hereby authorized to refund the foliowing : <br /> Payee: SUPF.RMARKET DEVELOPMENT CORP ATTN: rA. HADAPAY , <br /> Address : Po BOX 3763 <br /> SEATTLE WA �iP 98124 <br /> Amount $ z04.60 <br /> ' Reason : - Over charged on peredt 11544161 - plans examiner lowered � <br /> N <br /> original construction valuation � <br /> Customer 002-3458300831 - 80.60 <br /> Accoi:nt No. 002-32211o1S31 - 124.00 <br /> This amount was received by the City of Everett on 7/29/94 19 <br /> and recorded on City B�WX�L���K�X��]�X�X7�(X Building Permit B441,61 � <br /> O City Permit No. has been returned/cancelled . <br /> ❑ Plans have been returned to this department. <br /> � ❑ A charge has been made to ,the cu tom r ' s account for this refund. <br /> . <br /> [. <br /> Date ut orize Signature <br /> Building Officia.l i <br /> Tit e <br /> -- -- ------- -- ------------------ --- ---- -----------••-------------------------- ----- - <br /> Refund by Check No . Date 19 Original Receipt <br /> Attached <br /> Account Dcbited : Fund Basub Elem Util Obj <br /> or <br /> � Refund Noted <br /> on Treasurer ' s <br /> Office Copy <br /> � <br /> , <br />