HomeMy WebLinkAbout4604 196th Pl Ne_BLD04-5896_2025 C I T Nf L]F - CA (a-(_L)N
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I�UE FZ M I -!_. IV C) _ _ C6-Z#- - t5 EA 61.
Owner: FI NCHE R, GALE 1530- 16'7TH AVE SE �.SNOHOMI`:�H 1382130
Value of Work: $H, 00iD. 00 Ta_,. 1D: 009513-•-ooVi-019-00 Phone: 425 3'.34-8371
Describe Mork: FINISH BONUS ROOK
Proposed Use: SF"R
Legal Description:
:lob Address: 4604 196 PLACE HE
Contractor's Name 'Type Address License#
195 DEVELOPBENT UEN 1530 167TH AVE SE MACHI1D033PP
TOTALS Fee
Permit Fee $169. 50
Plan Fee $110. i8
Mate fee $4. 50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $284. 18 1 HEREBY C � 'Y 'I AT I HAVE READ
AND EXAMINED THI'; APPLICATION AND
PAYMEKTS. . . . . . . . . . . . . . . . . . $0. 0 KNOW THE: 'SAME TO HE TRUE AND COR-
REC'- ALL PRovISION;S OF' LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . 2F34. 18 OFSG ? NCE: :Mv
"L THIS TYPE OF
W0 ILL LI 'D WI`I`H WFIETHER
DATE �� -C�'� RECEIPT # 8 NG
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