RECEIPT.pdfEDMONDS DEVELOPMENT SERVICES
Building Playnie
City Hall
2ND Floor
121 Fifth Avenue North
E�U�moro a r WA 90020
Ph, 425,77 1 .0220 FAX: 452.771,0221
Permit
0 d 00
0 , 00
Permit Number; =201
1575
Permit Surcharge Foo
eix
25000
2100
Permit Number: BLD20161575
Mechanical Permit Fee
40,00
4100
Permit Number: BLD20161575
Plumbing Permrit. Gee
lx 40400
4100
Permit Number; BLD20161575
Payer Naemet Sutter haeme and Hearth
10500
Total., 10100
........_,_.__.�...,��_..n____-.._t 0500
Visa Card
12/1 2016 09:45
#065 053 /11/7
DUPLICATE #001
12/1/2016 09;47
Business Ho rs _ am to 4:30 Pmr
MoriTues, , ihrrs, Fri,
8:36 am to r oah Wednesday
Sw i tchboardra��r�r� from 0 arm Icy 4130 p m ..
Please arrive air 4:15 tri ensure service.
T19nk you!