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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: December 29, 2020 <br /> You are here y authorized to refund the following: <br /> PAYEE CLARK'S ELECTRIC <br /> & 731250TH ST NW <br /> ADDRESS: STANWOOD WA 98292 <br /> AMOUNT: $ 80.00 <br /> REASON: SCOPE OF WORK CHANGED, NEW PERMIT REPLACED SCOPE THAT CHANGED <br /> ON THIS, THIS ONE JUST NEEDS TO BE REF <br /> GL CODE: BLDG 002-322-1101-831: UtAAUA t"O1 <br /> PL CK FEE 002-345-8300-831: INVOICE: EW2012-002 <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: $80.00 <br /> FIRE 002-342-4000-014: <br /> PW REV 002-345-8312-831: <br /> PW INSP 002-342-4016-831: <br /> PW MISC 002-322-4017-831: <br /> OVERPAYMENT REFUND: 002-369-8101-000: <br /> Payment was submitted to City of Everett on December 09, 2020 and recorded on permit EW2012-002, <br /> December 29, 2020 idain;n4t) ign3-1 <br /> (date) (Authorized Signature) <br /> Sabrina G o 4._ —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 /> � ) 3 <br />