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1815 13TH ST SEATTLE CHILDRENS NORTH CLINIC 2021-11-08
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1815 13TH ST SEATTLE CHILDRENS NORTH CLINIC 2021-11-08
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Last modified
11/8/2021 9:18:27 AM
Creation date
11/8/2021 9:18:23 AM
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Address Document
Street Name
13TH ST
Street Number
1815
Tenant Name
SEATTLE CHILDRENS NORTH CLINIC
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A <br /> 1 gI 6 /3 <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: July 22, 2021 <br /> You are hereby authorized to refund the following: <br /> PAYEE Prime Electric Inc <br /> & 3460 161sY Ave SE <br /> ADDRESS: Bellevue WA 98008 <br /> AMOUNT: $ 176.00 <br /> REASON: CUSTOMER CANCELLED PERMIT. 80% REFUND. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: E2002-123 <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: $ 176.00 ^ <br /> SEWER 401-343-50-109-460-00: ``1/ U <br /> SYST DEV STORM 401-379-50-123-460-14: <br /> PW REV 002-345-8312-831: <br /> PW INSP 002-342-4016-831: 11 JUL 2 7 2021 <br /> PAVING 002-322-4014-831: <br /> OVERPAYMENT REFUND 002-369-8101-000: CITY OF EVERETT <br /> FIRE DEPT 002-342-4000-014: Permit Services <br /> Payment was submitted to City of Everett on 02-18-20 and recorded on permit E2002-123. <br /> July 22, 2021 A/ <br /> (date) orized Signature) <br /> Sabrina Good — 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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