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CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer DATE: June 25, 2021 <br />You are heret iy authorized to refund the following: <br />PAYEE CM HEATING INC <br />& 1415 BROADWAY <br />ADDRESS: EVERETT, WA 98201 <br />AMOUNT: $120.00 <br />REASON: CUSTOMER CANCELLED PERMIT. 80% REFUND. <br />GL CODE: BLDG 002-322-1101-831: <br />PL CK FEE 002-345-8300-831: INVOICE: M2106-052 & E2106-150 <br />MECH 002-322-1500-831: $ 60.00 (Please print this number* on the refund cheek) <br />PLMB 002-322-1300-831: <br />ELEC 002-322-1200-831: $ 60.00 <br />SEWER 401-343-50-109-460-00: <br />SYST DEV STORM 401-379-50-123-460-14: <br />PW REV 002-345-8312-831: <br />PW INSP 002-342-4016-831: <br />PAVING 002-322-4014-831: <br />OVERPAYMENT REFUND 002-369-8101-000: <br />FIRE DEPT 002-342-4000-014: <br />Payment was submitted to City of Everett on 06/21/2021 and recorded on permits M2106-052 & E2106-150 <br />June 25 2021 i4i�2 .d-, Anr� <br />(date) (Authorized Signature) <br />Sabrina Good — Permit Services Manager <br />e <br />Refund by Check No. Date <br />,Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />