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� <br />�l��i�- .�� <br />� <br />CITY OF EVERETT <br />� REFUND AUTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS <br />SIDE-SEWER <br />PO BOX 137 <br />M U KI LTEO WA 98275 <br />AMOUNT: $ 24.00 <br />DATE: February 26, 2016 <br />REASON: Refund 80% OF PERMIT FEE ($30.00), AS THIS WORK WAS CANCELLED. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-322-1300-831: <br />002-322-1200-831: <br />002-322-4011-831: <br />401-343-50-109-460-00: $24.00 <br />401-343-40-119-471-02: <br />002-345-8300-831: <br />002-369-8101-000: <br />157-345-8601-000: <br />Refund fee collected for Permit U1512- <br />003, paid to City of Everett ON <br />12/O8/2015 by SIDE-SEW�R, <br />CC ON FILE. <br />Payment was made with CREDIT CARD to the City of Everett on ,12`l6£iY2015. <br />; <br />� -- <br />February 26, 2016 ; <br />(date) � (Author�ed Signature) <br />Paul McKee <br />Refund by Credit Card � � � <br />_ � <br />_ � � <br />_Origina � � <br />� <br />_ �., <br />�W9 <br />6WN� <br />dLCOei <br />�l � Q] O� <br />� N b <br />Q r <br />:�3f`- <br />�6 -�A <br />rip-N <br />.�l F- i <br />`::J Lf: <br />� N <br />��9WV <br />Om� <br />NW <br />NM <br />� <br />� <br />-+-+ <br />C <br />�.� <br />CO �T +� <br />\8 <br />if � t3J <br />(�- � � <br />x � - <br />x�---�. ---+ <br />nr-1 . -`'�-� o <br />X PR tT 0 <br />X 1V �- <br />X � � '� ? <br />X �Q JT m � <br />X � y� f M � C <br />X � r— � � <br />O � <br />L: O <br />L } <br />Ji Y <br />- Z <br />J 2 <br />i� S <br />N � <br />U <br />;y <br />^ � � <br />�'�'�v'e�G��^�i" -- (��'� ,�� <br />