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Fm. �410-001 <br />�ITY OF EVEREfT <br />REQUEST FOR IIILLING <br />EXPLAt�ATION OF DETAIL � <br />x <br />Invoice No. <br />Date <br />e see [na[ this is w��Yded exa <br />nvoice s'�ou2d oo to customer. <br />T0: Finance Depar[ment <br />FROrt: ' Community Development <br />(Name of Depar[ment) <br />PLF�ISE BILL T0: Richard Olsen <br />ustomer � <br />4730 Seahurst <br />�res; <br />Fverett, Wa. 98203 <br />(City) (State) (Zip Code) <br />DESCRIPTION QUANTITY PRICE AMOLR3T <br />Mi� <br />Demolition of unsaie structures located at <br />5232� and 5302� '9emore <br />�� <br />Per Council Resolution 1089 <br />Adr.iinistrative Fee <br />F <br />Send copy of invoice to: <br />Housing Inspecti n <br />S i gnedJ�!�,./�// ,Q <br />(Pcrson making request <br />Approved: �_� � <br />R <br />(Dppartment Ilcad) <br />400.00 <br />150.00 <br />550.00 <br />: T <br />