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CITY OF EDMONDS
121 5TH AVENUE' NORTH - EDMONDSWA 98020
PHONF: (425) 771-0220 - PAX: (425) 771-0221
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PERMITFEES/ RECEIVf,
DATE: Friday, FebrLiary 06, 2009
PERMIT #(, ENG2009q(J57)
PROJEC , r ADDRESS: 16315 75TH PL' , EDMONDS
1109-11VANI'll
*11KESUMMARY-
BLACK ROCK CABLE
1512 FAIRY] EW STREFr
BELLINGHAM, WA 98229
425-466-0721
2/6/2009 F -ROW Restoration
$60.00 SU)o $60.00
Total Due: $320.00 50.00 $320.00
* Fl.,,')"S ARE TIMA TED BASE 1) ON 1,V PO 8 Mil T1 0 N PR 0 VID L'D A T S U13 A41 TTA L - S U BdPC 7' TO Cl IA N G E
PAvNm'N'rTRANSACr(0NS:
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2/6/2009
X-flennit Surcharge Fee
$ 15.00
50.00
515.00
2/6/2009
F -Right u1' Way Permit Fee
$185.00
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s185.00
2/6/2009
Fl -Traffic Com PD1 Inspection Fee
$(0,00
S0,00
S60.(10
2/6/2009 F -ROW Restoration
$60.00 SU)o $60.00
Total Due: $320.00 50.00 $320.00
* Fl.,,')"S ARE TIMA TED BASE 1) ON 1,V PO 8 Mil T1 0 N PR 0 VID L'D A T S U13 A41 TTA L - S U BdPC 7' TO Cl IA N G E
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