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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: August 5, 2021 <br /> You are hereby authorized to refund the following: <br /> PAYEE TITAN ELECTRIC INC <br /> & 12828 NORTHUP WAY <br /> ADDRESS: BELLEVUE WA 98005 <br /> AMOUNT: $ 55.60 <br /> REASON: CONTRACTOR CANCELLED PERMIT, NOT GOING TO DO THE WORK. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: E2105-197 <br /> MECH 002-322-1500-831: PERMIT CANCELLED BY <br /> PLMB 002-322-1300-831: CONTRACTOR <br /> ELEC 002-322-1200-831: $55.60 (Please print this number on the refund check) <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 06/02/2021 and recorded on permit E2105-197. <br /> August 6, 2021 rca1m bf Toi ,' <br /> (date) authorized Signature) <br /> abrina 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 /> 1 <br />