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Receipt.pdfOf r ram CITY OF EDMONDS 1215TH AVENUE NORTH - EDMONDS, WA 98020 I PHONE: (425) 771-0220 - FAX: (425) 771-0221 �. 1 g9 DATE: Thursday, November 12, 2015 PERMIT #: PLN20150058 PROJECT ADDRESS: 632 MAPLE ST, EDMONDS 632 MAPLE ST EDMONDS, WA 98020-3435 (425) 478-4919 * FEE S UNIMARY: 11/06/2015 P -Land Use Fee $795.00 ($795.00) $0.00 11/06/2015 X -Permit Surcharge Fee $25.00 ($25.00) $0.00 Total Due: $820.00 ($820.00) $0.00 *FEES ARE ESTIMATED BASED ON INFORAIA TION PRO VIDED AT SUBMITTAL -SUBJECT TO CHANGE PAYMENT TRANSACTIONS: 11/10/2015 REC064857 AUTO Rodney and Susan Cook / AUTO PAY - TRN: 646870 ($820.00) fT41 444 3, l.fTf�4,u'fT I l,.cs;�.� ✓s ir�w '� i/%oil