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2 its e,k4 <br /> • <br /> FILE0 <br /> CITY OF EVERETT copy <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: June 22, 2020 <br /> You are hereby authorized to refund the following: <br /> PAYEE Superior Asphalt Maint. <br /> & Nathan Hatch <br /> ADDRESS: PO Box 66956 <br /> Burien WA 98166 <br /> AMOUNT: $ 295.31 <br /> REASON: Converge pay allowed payment of permit number PW2006-018 once with the cc fee <br /> and again without the cc fee —we are refunding the amount w/o the cc fee. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: PW2006-018 -2ND PMT <br /> MECH 002-322-1500-831: (Please print this number on the refund check) <br /> PLMB 002-322-1300-831: <br /> SPRK 002-322-1800-831: <br /> ELEC 002-322-1200-831: <br /> FIRE 002-342-4000-014: <br /> PW PAVING 902 322 4 831: &WV tt U $45.00 <br /> PW REV 002-345-8312-831: Oa V 1 <br /> CU /BO 0 - - - $20.00 <br /> CUT/BORE 002-322-4012-831: W ru&jt or <br /> . /al <br /> SYSTEM DEV FEE STORM - - - - - 4 $230.31 10 <br /> CMWJcv <br /> /Payment was submitted to City of Everett on 06/19/2020. I <br /> O <br /> June 22, 2020000 <br /> (date) (Authorize nature) <br /> Tony Lee— Building Official <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 /> ` I <br />