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CITY OF EVERETT <br />REFUND AUTHORlZATI7lV <br />T0: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS: <br />Legacy Homes NW Inc <br />1816 S Lake Stevens Rd <br />Lake Stevens WA 98258 <br />AMOUNT: $ 1089.40 <br />DATE: <br />1-29-04 <br />REASON: Changed the house plan after permit was issued on lot 17 Redwood Park. <br />Naw permit at 2632 97'" PI `. = is C0401-017 <br />CUSTOMER ACCOUNT # 5ee Attached <br />This amount was received by the City of Everett on 2-6-03 and recorded on permit or receipt <br />number C0301-048 <br />1 29-04 <br />(date) <br />Refund by Check No. Date <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's O�ce Copy. <br />f?J-�-�� ��� <br />J <br />(Aulhorized Sipnalure) <br />Mollle Hughes, Permit Tech <br />(Tllle) <br />