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, . <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: 10-05-04 <br /> You are hereby authorized to refund the foilowing: <br /> PAYEE ZUMIEZ <br /> & 1420 80T" ST SW STE A <br /> ADDRESS: EVERETT WA 98203 <br /> AMOUNT: $ 753.25 <br /> REASON: Check over amo�nt due for permit#80409-038 for 6300 Merrill Creek Parkway <br /> CUSTOMER ACCOUNT# 002-369-8101-OOQ <br /> This amount was received by the City of Evereit on 10-5-04 nd recorded on permit or receipt <br /> number 60409-038 <br /> I <br /> 10-6-04 <br /> �1 � <br /> (date) (Authonzed Signature) <br /> Tim Tyler, Building O�cial <br /> (Title) <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />