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GITY OF EVERET7 <br />REFUND AUTHORIZATION <br />T0: City Treasurer <br />You are herehy a�ith�rized to r�fund the following: <br />FAYEE <br />& <br />ADDRESS: <br />AMOUNT: $ <br />REASON <br />Todd Pohland <br />314 Heather Rd <br />Everett, WA 98203 <br />1450.00 <br />UATE: 1 /31 /2007 <br />Will not need the 9" water service purchased wilh the building permit <br />CUSTOMER ACCOUNT # 401-343-40-119-471-02 <br />Tliis amount was received by the Cily of Everett on 1012/06 and recorded on permit or receipt numb=r <br />U0608-053 <br />1 /31 /2007 , Gt���'z� <br />— �dale) IAulhori2�ed Signature) <br />(T;., <br />Refund by Check No. Date <br />_Original Receipt Attache:; <br />Account Debited: <br />Or refund neted on Treasurer's Office Copy. <br />II '� 1/.1.�- <br />C� <br />