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r ! <br />� everett <br />\ / <br />REFUND AUTilORIZATION <br />To: City Treasurer Date <br />You are hereby authorized to refund the following: <br />Payee: WRIGHT-ROBBINS CONSTRUCTZON <br />Address: 25517 NE 42ND PL <br />Amount <br />Reason: <br />REDMOND WA ZlP 98053 <br />$ 42.00 <br />' APPLICANT OVERCHARGED ON PLAN CHECK FEE <br />5/4/95 <br />O�� <br />Customer <br />Account No. 002-345-8300-831 <br />This amount was rzceived by the City of Everett on 4/28/95 19 <br />and recorded on City Treasurer's F.eceipt No. 113877 <br />❑ City Permit No. has been returned/cancelled. <br />❑ Plans have been returned to this department. _ <br />❑ A charge has been made to the cu tom r's account for this refund. <br />� ��� �[N1 ``c.'2—, - <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 />, �J , or <br />Refund Noted <br />on Trea=_urer's <br />� Office Copy <br />