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4 <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: October 1, 2021 <br /> You are hereby authorized to refund the following: <br /> PAYEE BARBARA STASIAK <br /> & R&R FOUND SPECIALIST LLC <br /> ADDRESS: 3409 MCDOUGALL AVE, STE 204 <br /> EVERETT, WA 98201 <br /> AMOUNT: $ 544.19 <br /> REASON: PERMIT DUPLICATED IN TRAKIT. <br /> GL CODE: BLDG 002-322-1101-831: $307.25 <br /> PL CK FEE 002-345-8300-831: $199.71 INVOICE: B2109-051 <br /> MECH 002-322-1500-831: PERMIT CANCELLED BY <br /> PLMB 002-322-1300-831: CONTRACTOR <br /> ELEC 002-322-1200-831: (Please print this number on the refund check) <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 /> PLAN BLDG PERMIT REV 002-345-8112-102: $30.73 <br /> STATE SURCHARGE IRC 670-389-3060-000: $6.50 <br /> Payments were submitted to City of Everett on 9/20/21 & 9/30/21 on permit B2109-051+$9l611- v0Y <br /> 0 d ct 44 <br /> October 1, 2021 d�i� v, � c 4G� <br /> (date) (Authori d 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 /> 1 I 3 <br />