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t { <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: September 30, 2022 <br /> You are hereby authorized to refund the following: <br /> PAYEE C M HEATING <br /> & 1500 INDUSTRY ST STE 200 <br /> ADDRESS: EVERETT, WA 98203 <br /> AMOUNT: $ 120.00 <br /> REASON: CONTRACTOR REQUESTED CANCELLATION OF M2207-082 AND E2207-181. REFUND <br /> AT 80%. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: M2207-082 &E2207-181 <br /> MECH 002-322-1500-831: $60 (Please print this number on the refund check) <br /> PLMB 002-322-1300-831: <br /> ELEC 002-322-1200-831: $60 <br /> SEWER 401-343-50-109-460-00: <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 BLDG PERMIT RVW/INSP 002-342-4000-014: <br /> EXCESS PMT 002-322-1898-831: <br /> Payment submitted to City of Everett for M2207-082 & E2207-181 via online payment on 7/21/22. <br /> September 30, 2022 �a�Tt44 Gl, is <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 /> ` I � <br />