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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: 1/31/2007 <br /> You are hereby authorized to refund the following: <br /> PAYEE Todd Pohland <br /> & 314 Heather Rd <br /> ADDRESS: Everett, WA 98203 <br /> AMOUNT: $ 1450.00 <br /> REASON: Will not need the 1"water service purchased with the building permit <br /> CUSTOMER ACCOUNT # 401-343-40-119471-02 <br /> This amount was received by the City of Everett on 10/2/06 and recorded on permit or receipt number <br /> U0608-053 <br /> 1/31/2007 <br /> (date) (Aul!toq ed Signature) <br /> "ermil Services Manager <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 /> �I3 <br />