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i.. <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> 1 <br /> TO: City Treasurer DATE: December 8, 2021 <br /> You are hereby authorized to refund the following: <br /> • <br /> PAYEE <br /> CM HEATING {. <br /> ADDRESS: 1415 BROADWAY <br /> EVERETT,WA 98201 <br /> AMOUNT: $ 136.00 <br /> REASON: CONTRACTOR REQUESTED REFUND. NO WORK PERFORMED. REFUND AT 80%. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: • <br /> INVOICE:M2111-012&E2111-009 <br /> MECH 002-322-1500-831: $76 (Please print this number on the refund check) <br /> PLMB 002-322-1300-831: ,; <br /> ELEC 002-322-1200-831: $60 <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 /> Payment was submitted to City of Everett on 11/2/21 via online credit card payment and recorded on permits <br /> M2111-012 and E2111-009. <br /> December 8, 2021 JJ6kitylim4, <br /> (date) (Authorized 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 /> it <br /> LA <br /> Il i <br /> 1 I <br /> L <br />