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11214 19TH DR SE 2016-11-17
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11214 19TH DR SE 2016-11-17
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Last modified
1/13/2017 5:53:03 AM
Creation date
11/17/2016 2:41:01 PM
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Address Document
Street Name
19TH DR SE
Street Number
11214
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CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAY�EE <br />& <br />ADD�ESS <br />AMOUNT: <br />REASON: <br />Silver Lake Center <br />11624 SE 5th St, Suite 100 <br />Bellevue, WA 98005 <br />$ 929.86 <br />Overcharged plan review fees. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-345-8300-831: $929.86 <br />002-322-1200-831: <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 />002-345-8300-831: <br />DATE: March 27, 2015 <br />INVOICI; #C1411-027 <br />(Please print this number on the reflind check) <br />This amount was received by the City of Everett on 03/26/2015 and recorded on permit number <br />C1411-027. <br />March 27, 2015 � �� <br />(date) (Authorized Signature) <br />Paul McKee-Permit Services Manager <br />ie <br />Refund by Check No. Date <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />
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