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r f <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: August 28, 2013 <br /> You are hereby authorized to refund the following: <br /> PAYEE Hollowdale Partnership LLC <br /> & 9802 Evergreen Way <br /> ADDRESS: Everett, WA 98204 <br /> AMOUNT: $ 60.00 <br /> REASON: Owner voided his permit. He had an electrical contractor come in and pull their own <br /> permit. <br /> GL CODE: 002-322-1101-831: <br /> 002-322-1500-831 INVOICE #E1308-103 <br /> 002-322-1300-831: (Please print this number on the refund check) <br /> 002-322-1200-831: $50.00 <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: <br /> 401-343-50-109-460-14: <br /> 401-343-40-119-471-02: <br /> 157-344-9001-000: <br /> This amount was received by the City of Everett on August 19, 2013, and recorded on permit number E1308- <br /> 103. <br /> January 22, 2013 < �., Lm erg '� <br /> (date) (Aut;razed Signature)(1 <br /> Paul McKee-Permit Services Manager <br /> ie <br /> Refund by Check No. Date <br /> Original Receipt Attached CO <br /> Account Debited: pl(�) <br /> Or refund noted on Treasurer's Office Copy. <br /> C(OPY <br />