Ref_Req-To.Finance.8.5.10.water.pdf8/2/1 n
Flailing Address: Rob Michel , Michel Construction
7907 212the St SW #102
Edmonds, WA 98026
VendoS
Payment Receipt Number: REQ051212
Refund Receipt Number: REC05141 0
Originally Receipted in Account E -Water Connection Fee #105 _$6356.00
(Permit Trax Fee ID# & Description)
Refund to be Paid from Fund(s): 412J00.000.379.0010.000.00
Permit/App Number: ENG20080464
Reason for Refund: Original Water Connection Fee did not take into, account the
existing water connections. The refund amount is the -total credit for the existing property
water connections.,
93MMMM
FiTeroMoMM 10
JoAnne Zulauf
City Engineer
City of Edmonds c -Q Community Services
DATE .Monday, August 02, 2010
M 5711 .AVENIJ17 NORTIi - EDMO DS,Wr^ 98020
PIMNE: (425) 771-0220 - FAX: (425) 771-0221
PERMIT : ENG20080464
i'ROTFC` : ADDRESS: 316 WALNUT ST, I;1 MONDS
PROP OWNER: ROBIN W & KA3iLN E MCCHE1.,
7907 212TH ST SW # 102
FDMONC)S, WA 98026
*KE U1'oI MARY:
Date Desca•iquicaaa
11/2,61200 E -Water Meter Fee.
11/26/200 E-4hTater Connection Fee
8
6/22/2,010 CREDIT (2) 3/4" EX19F W.ATERCONNECTIONS
6/22/2010 CREDIT (1) 1 1/2" Exist Water Connection Fee
Total Due
Fee EaAl2Aount
Papel
$2,930.00
($2,930.00)
$7,264.00
($7,264.00)
($1,81600)
$1,$1600
($4,540.00)
$4,540.00
S3,838.00
(53,838,00)
*FEI.^s5 f1?F Ii3?'Ie11f1 L1) B21SED ON Ii' rORHATIOAT PROVIDED AT S'U13MITIA1,-SZ,+BJECT TO (.HANGF
Date Receipt ##
5/25/2010 8051212
7/612010 RECO51.41.0
MetlLo&Payree
Auto/Al c11e1 Const.
E W ater Meter Fee
E Water Connection Fee
Refund/
F,Water Connection Fee
Balance Due
$0.00
$0.00
$0.00
$0.00
$0.00
Paid
($10,194.00)
($2,930.00)
($7,264.00)
56,356.00
$4,540.00
$1,816.00