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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: October 10, 2019 <br /> You are hereby authorized to refund the following: <br /> PAYEE CM HEATING INC' <br /> & 1415 BROADWAY <br /> ADDRESS: EVERETT, WA 98201 <br /> AMOUNT: $ 112.00 <br /> REASON: PAID PERMIT#E1909-060 TWICE ONLINE THRU CONVERG P:Y. <br /> GL CODE: BLDG 002-322-1101-831: <br /> CO "' iv <br /> MECH 002-322-1500-831: 52.00 INVOICE: M1909-028 AND E1909- <br /> PLMB 002-322-1300-831: 082 <br /> SPRK 002-322-1800-831: (Please print this number on the refund check) <br /> ELEC 002-322-1200-831: 60.00 <br /> FIRE 002-342-4000-014: <br /> WATER 401-343-40-119-471-02 <br /> Payment was submitted to City of Everett on 9-13-2019 recorded on M1909-028 and E1909-082. Refund is at <br /> 80%. <br /> F , 41 //, , <br /> October 10, 2019 O <br /> �' '' V �I {— <br /> (date) (Au horized Signature <br /> Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />