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124 W INTERCITY AVE 2022-03-23
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124 W INTERCITY AVE 2022-03-23
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Last modified
3/23/2022 2:17:08 PM
Creation date
3/18/2022 8:13:58 AM
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Address Document
Street Name
W INTERCITY AVE
Street Number
124
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CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer DATE: February 8, 2022 <br />You are hereby authorized to refund the following: <br />PAYEE <br />ADDRESS: <br />CHAMPION WINDOW SO/SEA S LLC <br />19406 68TH AVE S <br />KENT, WA 98032 <br />AMOUNT: $ 52,00 <br />REASON: Mechanical permit M2009-073 not required, scope was inspected and approved under <br />E2010-016. Refund at 80%. <br />GL CODE: BLDG 002-322-1101-831: <br />PL CK FEE 002-345-8300-631: <br />MECH 002-322-1500-831: $52.00 <br />PLMB 002-322-1300-831: <br />ELEC 002-322-1200-631: <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 />OTHER: <br />INVOICE: M2009-073 <br />(PIease print this number on the refund check) <br />Payment was submitted to City of Everett on 10/1/2020 via online payment and recorded on permit M2009- <br />073. <br />February 8, 2022 )&4,ivW AV) <br />(date) (Authorized Signature) <br />Sabrina Good — Permit Services Manager <br />16 <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 />
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