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_ � <br /> �/.��%� - .;�,clC�,�-- � 5� , <br /> everett <br /> REFUND AUTt10RIZATION <br /> Tc: City Treasurer Date 4/12/95 <br /> Ya.. are hereby authorized to refund the f�llowing : <br /> Payee: <br /> DALi. LLOYD / AZURE CONSTRUCTION <br /> Address : 13'L08 136TH AVE NE <br /> KIRKLAND WA ZiP 98034 � <br /> � <br /> Amount � 1090.00 C�j% <br /> ' Reason: _OVERCHAAGED FOR WATER ON S.O. 8427 � A428�� <br /> SHOULU BE CITY INSTALLED SERVICES <br /> Customer <br /> Account No. 901-343401?997102 <br /> This amount was received by the City of Everett on_ 4/3/95 19_ <br /> and recorded on City Treasurer ' s F.eceipt No. SEE ATTACH�D, <br /> ❑ City Permit No._ has been returned/cancelled . <br /> ❑ Plans have been returned to this department. <br /> • p A charge has been made to ,the custom r ' s account for this refund. <br /> /�/7�� _. � }/L l�— <br /> Date Aut orize Signaturc <br /> Building Official <br /> Tit e <br /> ----------------------------------------------------------- <br /> Refund by Check No. Date _19 Original Receipt <br /> Attached <br /> Account Debited : Fund Basub L'. em Util Obj <br /> or <br /> ReEund Noted <br /> on 'freasurer ' s <br /> `y' Of.Lice Copy <br />