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REFUND AUTfIORIZATION <br />To: City Treasurer <br />You are hereby authorized to refund the following: <br />Payee: Q.C. BUILDERS INC <br />Address: 1926 49TH ST w <br />EVERETT Zlp 98203 <br />Amount <br />Reason: <br />Customer <br />Account No. <br />650.00 <br />D 7/21/95 <br />- Refund water portion of Utilities Pcrmit issued <br />7/18/95 (see a[tached). Water for [his lo[ was previously <br />�purchased on 6/9/94, 5.0. 118107 <br />401-3434011947102 <br />This amount was received by the City of Everett on ��18�95 19 <br />and recorded on City Treasurer's R.eceipt No. •�tcached <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 />7-ZI-9.5�" ���-- <br />Date ut orize� Signature <br />BuildinE Official <br />Tit e <br />---------------------------------------------------------------------------------- <br />Refund by Check No. Date _ 19_ _ Original Receipt <br />Attached <br />Account Debited: Pund Dasub Elem Util Obj <br />or <br />� � Refund Noted <br />on Treasurer's <br />� � � Office Copy <br />