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r <br /> 4 <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: June 3, 2019 <br /> You are hereby authorized to refund the following: <br /> PAYEE CM HEATING INC <br /> & 1415 BROADWAY <br /> ADDRESS: EVERETT, WA 98201 <br /> AMOUNT: $ 92.00 <br /> REASON: Request to cancel this permit, work not to be performed refund at 80% <br /> GL CODE: BLDG 002-322-1101-831: .J4' <br /> COMM <br /> MECH 002-322-1500-831: $52.00 INVOICE: M1903-025 AND E1903- <br /> PLMB 002-322-1300-831: 047 <br /> SPRK 002-322-1800-831: (Please print this number on the refund check) <br /> ELEC 002-322-1200-831: $40.00 <br /> Payment was received by the City of Everett on 03-8-19 and record G On M1903-025 and E1903-047. <br /> i' <br /> June 3, 2019 <br /> (date) , <br /> (Authorized 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 /> E0 <br />