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1511 RUCKER AVE 2022-04-05
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1511 RUCKER AVE 2022-04-05
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Last modified
4/5/2022 11:11:13 AM
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4/5/2022 11:11:01 AM
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Address Document
Street Name
RUCKER AVE
Street Number
1511
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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: February 9, 2022 <br /> You are hereby authorized to refund the following: <br /> PAYEE <br /> & Washington Energy Services <br /> ADDRESS; 3909 196TH ST SW <br /> LYNNWOOD WA 98036 <br /> AMOUNT: $ 60.00 <br /> REASON: Refund at 80% - contractor says another contractor has been selected to do the work; <br /> please cancel the permit. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: E2201-128 <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: $60.00 <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, NO G/L ASSIGNED: <br /> Payment was submitted to City of Everett on 01/19/2022 via online payment and recorded on permit <br /> E2201-128. <br /> February 9, 2022 ,!0.ti6A j Ai,) <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 />
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