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1011 CROWN DR 2022-04-04
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1011 CROWN DR 2022-04-04
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Last modified
4/4/2022 3:59:44 PM
Creation date
4/4/2022 3:59:37 PM
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Address Document
Street Name
CROWN DR
Street Number
1011
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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: January 8, 2021 <br /> You are hereby authorized to refund the following: <br /> PAYEE BEL RED ENERGY SOLUTIONS LLC <br /> & 10733 47TH PL W <br /> ADDRESS: MUKILTEO WA 98275 <br /> g" a 06n <br /> AMOUNT: $ 52.00 I4N 1 1 2O , <br /> Permit er4 1'T <br /> REASON: THEIR CUSTOMER CANCELLED THE WORK- REFUND AT 80%. 'Ices <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: M2011-114 <br /> MECH 002-322-1500-831: $52.00 (Please print this number on the refund cheek) <br /> PLMB 002-322-1300-831: <br /> ELEC 002-322-1200-831: <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 November 30, 2020 and recorded on permit M2011-114, <br /> January 8, 2021 t(,bli#14J 0601 <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 /> 14 <br />
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