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ENG REFUNDPAYER INFORMATION First name Deborah Address 8912 192nd St SW REFUND DETAILS Permit Number BLD2020-0412 Reason for Refund Permit Type Building Last name Binder City, State, Zip Edmonds WA 98026 Vendor Number Credit Refund Amount $100.00 Fire/Aid sign was paid for but not needed. The address is visible from the street. Eng Tech Name Date Jeff Whatmore 1 106/15/2021 •0 FA all PROALAI Process Date Initials