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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: March 29, 2004 <br /> You are hereby authorized to refund the following: <br /> PAYEE ADAIR ENTERPRISES LLC <br /> & 1703235 T"AVE SE <br /> ADDRESS: BOTHELL, WA 98012 <br /> AMOUNT: $ 1,628.00 <br /> REASON: OVER CHARG-70 SYSTEMS DEVELOPMENT FEE ON PERMITS U0403-020 <br /> AND U0403-021 <br /> CUSTOMER ACCOUNT # 401-343-5U-109-460-14 <br /> This amount was received by the City or Everett on 3/26/04 a d recorded on permit or receipt number <br /> U0403-020 & 021 <br /> 3/29/04 "� � .. <br /> )date) (Au..knze ignature) <br /> BUILDING OFFICIAL <br /> (Title) <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />