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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: April 7, 2022 <br /> You are hereby authorized to refund the following: <br /> PAYEE <br /> & Susannah Banfield <br /> ADDRESS: 1708 Wetmore Ave <br /> Everett WA 98201 <br /> AMOUNT: $ 80.00 <br /> REASON: 80% REFUND DUE TO OWNER CANCELLED PERMIT—AS HIRED CONTRACTOR <br /> OBTAINED PERMIT FOR THE SAME WORK <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: E2107-206 <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 /> 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 /> EXCESS PMT 002-322-1898-831: <br /> Payment submitted to City of Everett on 08/02/2021 via online payment. <br /> April 7, 2022 idad6Lia i and <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 /> II � <br />