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CITY OF EVERETT <br /> R�FUND AUT�IORiZATION <br /> TO: City Treasurer DATE: November 4, 20i4 <br /> You are hereby authorized to refund the following <br /> PAYEE Northwe>t Permit Inc I <br /> & 9808 31" St SF <br /> ADDRESS: , Everett, WA 98208 <br /> � <br /> � <br /> I ---- -- -- - <br /> AMOUNT: S 43.60 <br /> REASON Owr.er cancelled the work. <br /> GL CODE: 002-322-1101-831 $43 60 <br /> -- _- - - ---- <br /> 002-322-1500-831� IV�'f)1C1? #131dOG-029 <br /> 002-322-1300-831 � �Plc:ur priut thic numbrr��n thc rclund chctl:) <br /> 002-322-1200-83L -- - - — -- — ----- --' <br /> 002-322-4011•831 <br /> 401-343-50-109-460-00: <br /> 401-343-50-109-460-14 <br /> 401-343-40-119-471-02: <br /> OG2-345-8300-831: <br /> This amount was received by the City of Everett on June 25, 2014 and recorded cn permit number <br /> 61406-029 n <br /> November 4, 2014 _ ������—� <br /> - -- -- -- —. - - --— <br /> 1��'e) 1���1'mnted Signature) —�- � <br /> Paul McKee-Permit Services Manager <br /> i ��c — — — --- -- <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />