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4315 30TH DR SE 2019-04-17
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4315 30TH DR SE 2019-04-17
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Last modified
4/17/2019 10:45:01 AM
Creation date
4/17/2019 10:44:57 AM
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Address Document
Street Name
30TH DR SE
Street Number
4315
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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: March 8, 2018 <br /> You are hereby authorized to refund the following: <br /> PAYEE POLYGON WLH LLC <br /> & ATTN. ALAN PANI <br /> ADDRESS: 11624SE 5TH ST STE 100 <br /> BELLEVUE WA 98005 <br /> AMOUNT: $ 472.44 <br /> REASON: RECEIVED THE PLAN CHECK FEE A 2N13 TIME <br /> GL CODE: B 002-322-1101-831: <br /> M 002-322-1500-831: INV I ICE: C1801-012 <br /> P 002-322-1300-831: (Pie:se print this number on the refund eck) <br /> E 002-322-1200-831: <br /> PC 002-345-8300-831: $472.44 <br /> 002-342-4016-831: t ,� I �(56- 1)Y1. <br /> 002-345-8112-102: <br /> 002-369-8101-000: <br /> 002-2374-3401-000: <br /> 157-345-8601-000: <br /> Payment was received by the City of Everett on 01/10/2018, CK#61164 AND ON 03/06/2018, CK#61194 and <br /> recorded on C1801-012. <br /> March 8, 2018 if.AitAt' RA <br /> (date) (A thorized Signature) <br /> Paul McKee-Permit 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 />
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