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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: February 2, 2023 <br /> You are hereby authorized to refund the following: <br /> PAYEE LAKHJIT GREWAL <br /> & 3633 102ND PL SE <br /> ADDRESS: EVERETT, WA 98208 <br /> AMOUNT: $ 10.23 <br /> REASON: SEWER PERMIT WAS ISSUED FOR PROPERTY OUTSIDE OF CITY SEWER DISTRICT. <br /> REFUND AT 100% DUE TO CITY ERROR. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: U2301-027 <br /> MECH 002-322-1500-831: (Please print these numbers on the refund <br /> PLMB 002-322-1300-831: check) <br /> ELEC 002-322-1200-831: <br /> FIRE 002-342-4000-014: <br /> SEWER 401-343-50-109-460-00: $10.00 <br /> SURCHARGE 002-237-3401-000: <br /> PAVING 002-322-4014-831: <br /> OVERPAYMENT REFUND 002-369-8101-000: <br /> PLANNING BLD REV FEE 002-345-8112-102: <br /> CREDIT CARD FEE 009-500-0057-494: $0.23 <br /> Payment submitted to City of Everett on 1/26/23 via ONLINE PAYMENT, <br /> February 2, 2023 J&M4' <br /> (date) (Authorized Signature) <br /> Sabrina Good — Permit Services Manager <br /> . e <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />