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4310 COLBY AVE 2020-05-05
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4310 COLBY AVE 2020-05-05
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Last modified
5/5/2020 9:06:03 AM
Creation date
5/5/2020 9:05:53 AM
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Address Document
Street Name
COLBY AVE
Street Number
4310
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k- k0 eA676Atie- <br /> CITY <br /> OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: September 10, 2019 <br /> You are hereby authorized to refund the following: <br /> PAYEE MATANA LLC <br /> & 117 E LOUISA ST STE 230 <br /> ADDRESS: SEATTLE, WA 98102 <br /> AMOUNT: $ 20.00 <br /> REASON: CANCELLED/ NO REFUND ON PW INSPECTION. REMAINING REFUNDED AT <br /> 80%. <br /> GL CODE: BLDG 002-322-1101-831: <br /> MECH 002-322-1500-831: INVOICE• PW1907-052 <br /> PLMB 002-322-1300-831: (Please print this number on the refund check) <br /> SPRK 002-322-1800-831: <br /> ELEC 002-322-1200-831: <br /> FIRE 002-342-4000-014: <br /> PW MISC 002-322-4017-831: $20.00 <br /> Payment was submitted to City of Everett online and recorded on 7-29-19. <br /> September 10, 2019 (c,(,S' ' � <br /> (date) (Autlid ized 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 />
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