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(9lz — y& <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: November 23, 2021 <br /> You are hereby authorized to refund the following: <br /> PAYEE E C COMPANY <br /> & 981 POWELL AVE SW, 200 <br /> ADDRESS: RENTON WA 98057 <br /> AMOUNT: $ 159.44 <br /> REASON: CONTRACTOR REQUESTED CANCELLATION OF PERMIT DUE TO WORK NOT <br /> BEING PERFORMED. REFUND AT 80% <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: <br /> MECH 002-322-1500-831: E2011-053 <br /> PLMB 002-322-1300-831: (Please print this number on the refund check) <br /> ELEC 002-322-1200-831: 159.44 <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 /> FIRE DEPT 002-342-4000-014: <br /> Payment was submitted to City of Everett on 11/13/2021 online via credit card. Refund at 80%. <br /> November 23, 2021 'Aiwa <br /> (date) Authori 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 /> l <br />