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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: May 18, 2022 <br /> You are hereby authorized to refund the following: <br /> PAYEE NORTHWEST FIRE SYSTEMS LLC <br /> & 22645 83RD AVE S BLDG D <br /> ADDRESS: KENT, WA 98032 <br /> AMOUNT: $ 204.80 <br /> REASON: PERMIT CANCELLED BY CUSTOMER, REFUND AT 80%. <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: FA2203-010 & E2203-188 <br /> MECH 002-322-1500-831: (Please print this number on the refund check) <br /> PLMB 002-322-1300-831: <br /> ELEC 002-322-1200-831: $40.00 <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 BLDG PERMIT RVW/INSP 002-342-4000-014: $164.80 <br /> EXCESS PMT 002-322-1898-831: <br /> Payment submitted to City of Everett on 3/29/2022 via online payment on permits FA2203-010 & E2203-188. <br /> May 18, 2022 )0, )1147 A, Anj <br /> (date) (Authorized Signature) <br /> Sabrina Good — Permit Services Manager <br /> 7T5 <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />