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• <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: April 26, 2021 <br /> You are hereby authorized to refund the following: <br /> PAYEE THEODORE BECKER <br /> & 5213 23RD AVE W <br /> ADDRESS: EVERETT,WA 98203 <br /> AMOUNT: 146.88 <br /> REASON: REFUND FOR PERMIT THAT SHOULD HAVE NOT BEEN ISSUED. FULL REFUND. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: PW2104-019 <br /> MECH 002-322-1500-831: (Please print this number on the refund check) <br /> PLMB 002-322-1300-831: <br /> ELEC 002-322-1200-831: <br /> SYST DEV STORM 401-379-50-123-460-14: $61.88 <br /> PW REV 002-345-8312-831: $20.00 <br /> PW INSP 002-342-4016-831: $20.00 <br /> PAVING 002-322-4014-831: $45.00 <br /> OVERPAYMENT REFUND 002-369-8101-000: <br /> TRAFFIC MITIGATION 157-345-8601-000: <br /> Payment was submitted to City of Everett on 04/12/2021 and recorded on permit PW2104-019. <br /> April 26, 2021 Qi Tti4t4, Asa) <br /> (date) (Authorized Signature) <br /> Sabrina Good— Permit Services Manager <br /> (Titre) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy, <br />