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CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS <br />AMOUNT: <br />REASON: <br />PACIFIC POWER GROUP <br />1221 29T" ST N W <br />AUBURN WA 98001 <br />$ 46.00 <br />DATE: August 2, 2016 <br />Contractor is requesting a refund, as the ELECTRICAL work is not going to take place. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-322-1300-831: <br />002-322-1200-831: $ 46.00 <br />002-322-4011-831: <br />401-343-50-109-460-00: <br />401-343-40-119-471-02: <br />002-345-8300-831: <br />002-369-8101-000: <br />157-345-8601-000: <br />Permit E1605-098 — original fee paid <br />$ 57.50; 80 % refund as work was <br />cancelled after permit was obtained. <br />Payment was made with CREDIT CARD to the City of Everett on 05/17/2016 and recorded on permit. <br />!� � , <br />August 2, 2016 <br />(date) (A t orized Signature) <br />Refund by Check <br />Date <br />Original Receipt Attached <br />Paul McKee <br />