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CITY t�F EV'�R�TT <br /> REGIUEST FOR BILLINC INVOICENO. <br /> DATE 9/19/°6 <br />' J Please see lhat this is worded exactly <br /> � EXPLANATION OF DETAIL 1 as invoice shoub�go lo customer. <br /> TO: Finance Department ' <br /> Public Works / Building Division <br /> FROM: <br /> (Name ol�e{�artmenq <br /> rL"tASEBILLTO: 9lison Sing, Mana3er FP&C Divisicn <br /> General Services ' ' <br /> (Cyssc�loor, Administration Annex <br /> �A�verett, WA 98201 <br /> �— (Stzte) (Zip Code) <br /> (Gily) <br /> DESCRIPTION I QUANTITY I PRICE AMOIJNT <br /> Buiiding Pernic(s) I1 852196 and Utility Permits <br />, I <br /> For: DENNY JUVENILE JUSTICE CENTER <br /> — 1 ' 33,046.50 <br /> Building Permit Fee 002-3221101831 — Z1,480.23 <br /> 002-3458300831 1 <br /> Plan Check Fee — 4.50 <br /> 1 <br /> State Building Surcharge 002-2373401000 _ <br /> Other: <br /> Water Cost Estimates <br /> lOth & Poplar 1,402.00 <br /> lOth & Pine 1,657.00 4,716.00 <br /> 9th & Pine 1,657.00 401-3434011947102 3 380.00 <br /> 401-3434011947102 � 3 <br /> Water Service Order I <br /> 70.00 <br /> Sewer. Permit 002-322!600831 1 <br /> Systems Develapment 401-343501094ti014 <br /> 21,205.60 <br /> 80,902.83 <br /> TOTAL � <br /> I <br /> Information <br /> �� _ <br /> Send copy of invoice to: Signed <br /> (Persan making request) <br /> Building Division <br /> qpproved �Department Head) <br /> L� <br /> L--- - . .. _. -. ........�.��,�.� <br />