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everett <br />REFUND AUTHORIZATION <br />�. <br />To: City Treasurer <br />Date 9-14-95 <br />You are hereby authorized to refund :he following: <br />Payee: <br />Address: <br />Amount <br />Reason: <br />Customer <br />Account No <br />Andrew Austin Co Inc <br />9004 191se P1 SW <br />Edmonds WA Zlp 98026 <br />$ 595.60 <br />Cancelled permit replaced by C49495. <br />(SOX refund) <br />See attached <br />This amount was received by the City of Evere[t on 5/3 1995 <br />and recorded on City Treasurer�s Receipt No. <br />O City Permit No. C43975 hds been returned/cancelled, <br />❑ Plans have been returned.to this department. <br />❑ A charge has been made to,the cus mer�s ac�ount for this refund. <br />, <br />9-14-95 � G CY1�_ <br />Date Aut orize Signature <br />Building Official <br />Tit e <br />------------------------------------------- <br />Refund by Check No. Date 19 Original Receipt <br />Attached <br />Account Debited: Fund Basub Elem Util Obj <br />or <br />Refund Ncted <br />on Treasurer's <br />' I Office Copy <br />