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an <br />TO: City Treasurer <br />REFUND AUTHORIZATION <br />You are hereby authorized to refund the following: <br />Date 11/29/95 <br />PAYEE: Tri—St Fle,tric — <br />ADDRESS: 12212 r r� u Wia , <br />AMOUNT: $) 62 40 <br />REASON: <br />Electrical <br />permit <br />fee for #E50049 was <br />calculated <br />on <br />a valuation of $15.000. <br />Valuation <br />has been <br />changed to 3,500. <br />Refund 80% <br />of <br />the difference. <br />CUSTOMER <br />ACCOUNT # ooz-sz2-1z00-831 <br />This amount was received by the City of Everett on 11/15/95 and recorded on <br />(date) <br />permit or receipt number E50049 <br />11/29/95 - <br />(date) (Authorized Signature) <br />Refund by Check No. <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy <br />Bui7dial <br />lTtle) <br />Date <br />