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, <br /> CITY VERETT OFE Pk 14 co <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: July 9, 2020 <br /> You are hereby authorized to refund the following: <br /> PAYEE DAVID ERICKSON <br /> & 12723 10TH AVE NW <br /> ADDRESS: SEATTLE WA 98177 <br /> AMOUNT: $ 1539.78 <br /> REASON: Customer no longer wants to do the reviewed and approved work. Refund is 80% of <br /> eligible items. <br /> GL CODE: BLDG 002-322-1101-831: $ 1539.78 <br /> PL CK FEE 002-345-8300-831: INVOICE: B2003-026 <br /> MECH 002-322-1500-831: (Please print this number on the refund check) <br /> PLMB 002-322-1300-831: <br /> SPRK 002-322-1800-831: <br /> ELEC 002-322-1200-831: <br /> FIRE 002-342-4000-014: <br /> PW REV 002-345-8312-831: <br /> PW INSP 002-342-4016-831: <br /> CUT/BORE 002-322-4012-831: <br /> SYSTEM DEV FEE STORM 401-379-50-123-460-14: <br /> OVERPAYMENT REFUND: 002-369-8101-000: <br /> Payment was submitted to City of Everett on 05/11/2020 and recorded in Etrakit. <br /> July 9, 2020 <br /> (date) uthor Signature) <br /> Tony Lee— Building Official <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. / 3 J <br />