Laserfiche WebLink
CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer DATE: April 20, 2021 <br />You are hereby authorized to refund the following: <br />PAYEE <br />ADDRESS: <br />AMOUNT: <br />REASON: <br />Clearcreek Contractors Inc <br />3203 15th St <br />Everett, WA 98201 <br />$ 108 <br />CONTRACTOR CALLED TO REQUEST CANCELLATION OF THIS PERMIT DUE TO <br />NOT LOCATING THE FUEL TANK AND NOT.NEEDING ANY CITY INSPECTIONS. <br />GL CODE: BLDG 002-322-1101-831: <br />PL CK FEE 002-345-8300-831: INVOICEi : PW2104-016 <br />MECH 002-322-1500-831: (Please print this number on the refund chectc) <br />PLMB 002-322-1300-831: <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 />PW MISC 002-322-4017-831: $88 <br />OVERPAYMENT REFUND: 002-369-8101-000: <br />GRADE/FILL/EXCAVATION: 002-322-4018-831: $20 <br />Payment was submitted to City of Everett on 4/8/2021 <br />April 20, 2021 <br />(date) <br />Refund by Check No, Date <br />Original Receipt Attached <br />Account Debited: <br />and reca ded on permit PW2104-016. <br />(Authorized Signature) <br />Sabrina Good -- Permit Services Manager <br />(Title) <br />Or refund noted on Treasurer's Office Copy. <br />l�� <br />