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CITY OF EVERETT <br /> REFUND AUTHORIZATION • <br /> TO: City Treasurer DATE: September 4, 2018 <br /> You are hereby authorized to refund the following: <br /> PAYEE CG.Engineering <br /> & 250 4th Ave S Suite 200 <br /> ADDRESS: Edmonds, WA 98020 <br /> AMOUNT: $ 237.21 /pi M ,b/& f6`"��- <br /> REASON: Permit submitted as a building permit (B1808-031). Permit changed to a public works <br /> permit (PW1808-073). $148.40 of the plan check fee paid ($385.61) applied to the PW <br /> fee due. A request for refund in the amount of$237.21 for the remainder of the fee <br /> overpaid. <br /> GL CODE: 002-322-1101-831: <br /> 002-322-1500-831: INVOICE #B1808-031 <br /> 002-322-1300-831: (Please print this number on the refund check) <br /> 002-322-1200-831: <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: <br /> 401-343-40-119-471-02: <br /> 002-345-8300-831: <br /> 002-345-8112-102 <br /> 002-369-8101-000: <br /> 157-345-8601-000: <br /> Payment was received by the City of Everett on 8/24/2018 and recorded on B1808-031. <br /> / <br /> September 4, 2018 / s z�Lrl dJct� \ <br /> (date) (Author' Signature) <br /> Paul McKee-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. 1 3 <br /> Prepared by TJ <br />