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REFUND AUTHORIZATION <br /> T0: City Treasurer Date 12-z6-95 <br /> You are herehy authorized to refund tFie following: <br /> PAYEE: Smith Heating 5 Cooling <br /> ADDRESS: 12414 Hwy 99 S Suite 20 <br /> Everett WA 98204 <br /> AMOUNT: S 75.00 <br /> REA S 0 N: Permit purchased earlier on combination building permit <br /> CUSTOMER <br /> ACCOUNT # 002-322-15o0-s31 <br /> l'his amount was received by the City of Everett on 12-21-95 and recorded on <br /> tae�ai <br /> permit or receipt n�mber M50377 <br /> 12-26-95 ' � <br /> (deta) (Authorizad SiO�etura) <br /> Building Official <br /> (Tide! <br /> Refund by Check No. _ Date <br /> _ Originai Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Capy <br />