RECEIPT.pdf73=5=5m— TRANSACTION RECORD
City of Edmonds
Development Services
Olt H-11
1211 Ave N
Edmonds, WA 98020
Irans Y: 137418 A
type: Purchase
card Type; visa Card
Total: $1000
caiA Number,
Expir. Date -
0 1 ` me: K ", 2112 Aug 14 14:41
1
Reference 4: 137418 M
Auth, it 03729(1
Approved - Thank You
signature
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,Gibrilh-Sales & ServTce
EDMONDS DEVELOPMENT SERVICES
Building Planninfil
80 Floor City fa
121 Fifth Avenue North
Elloncls, WA 9MV0
ph: 425,100220 FAQ,4,52,771,0221
Permit 0 MO
0,00
Permit Number, 1300140790
Building Permit - Dihor Fe2es
5,00
25,00
permit Number: BLD20140790
permit Surcharge Fee 25,00
25,00
Permit Number: B1020140790
Fire Inspection Fee 65,00
65,00
Permit Number: 11L020140 90
payer Name, Glurich sales & service
Ilya)
115,00
Total:
Virga Card
811212014 14: 40
#0631752 11117
Business Hourwo am to 4:30 pm
on."'" Thur-,; K Fri
, In("), , AM t NOUN,
W1 DI So, 6
Switchin ( open t a am to 400 Qw,
Please ON at US to ensure BMW&
Thank YOU!