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REFUND AUTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE: <br />ADDRESS <br />AMOUNT: <br />REASON <br />CUSTOMER <br />ACCOUNT # <br />Jeff Gray <br />PO Box 716 <br />Everett WA 98206 <br />$ 927.00 (80%) <br />Date 4-6-99 <br />Voided permit/change of plan for lot at 4701 Seahurst #C61758. <br />see attached <br />This amount was received by the City of Everett on 3-24-99 and recorded on <br />(date) <br />permit or receipt number C61758 _ <br />4-6-99 <br />(date) IAuthadzed Signature) <br />Tim Tyler Building Official <br />mde) <br />Refund by Check No. <br />_ Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy <br />Date <br />