Correspondence MI I
TIGARD
City of Tigard
May 8, 2014
Hal Morris
12988 SW Walnut St.
Tigard, OR 97223
Re: Permit No. MST2013-00193
Dear Mr. Morris:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 12988 SW Walnut St.
Project Name: Morris
Job No.: N/A
Refund: ❑ Check# in the amount of$
® Credit card "return" receipt in the amount of$754.80.
❑ Trust account"deposit" receipt in the amount of$
Notes: Refund fee collected for Tigard-Tualatin School District Excise Tax in error.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Coordinator
Enc.
I:\Building\Refunds\le t WaiRliu al !y.T ,c /Pregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
ty of Tigard
Y77`' Refund Request
TIGARD
6t/p %N
This form is used fo. C e. evelopment engineering and building permit
application fees. Rec ,._,'l :eguest for Permit Action form (if applicable) must
be attached to this re4 //t1�� r are due to Accela System Administrator by
each Wednesday at. Gr , 3 weeks for processing of refunds. Accounts
Payable will route refu ,.Lela System Administrator for distribution to applicant.
PAYABLE TO: Hal Morris DATE: 4/29/2014
12988 SW Walnut St
Tigard, OR 97223 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt#: 194641 Case#: MST2013-00193
Date: 1/22/2014 Address/Parcel: 12988 SW Walnut St.
Pay Method: CreditCard Project Name: Morris
EXPLANATION: Refund fee paid for Tigard-Tualatin School District in error.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Tig-Tual School CET- Residential 230-0000-24102 $754.80
TOTAL REFUND: $754.80
APPROVALS: SIGNA? ES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE LY
Case Refund Processed: Date: s�//y By: iA/
L\Building\Refunds\RefundReyuest.doc x 09/01/2010