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I <br /> � <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: Ciry Treasurer DATE: 8-24-04 <br /> You are herehy authorized to refund the following: <br /> PAYEE Blue Ridge Construction <br /> & PO Box 302 <br /> ADDRESS: Duvall WA 98019 <br /> AMOUNT: $ 130.00 <br /> REASON: Water service paid by developer on SO 10916 for 10120 1g� Dr SE. <br /> CUSTOMER ACCOUNT# 401-343-40-119-471 02 <br /> This amount was received by the City of Everett on 9-25-03 and recorded on permit or receipt <br /> number U0302-010 <br /> 8-24-04 <br /> (dale) <br /> (Aulhonzed Signature) <br /> Tim Tyler, Buiiding Official <br /> (rne) <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />