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Engineering Service Fee and Form Receipt
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Engineering Service Fee and Form Receipt
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Last modified
2/23/2022 1:05:24 AM
Creation date
2/22/2022 4:09:12 PM
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Date
8/31/2009
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ZaS'- <br /> 1 e'c.&'x,Q.c,. <br /> Engineering Department FOX,904 6'"Street <br /> •• › ,\A PO Box 547 �/!8��¢ <br /> „�, Anacortes,WA 98221 <br /> ,P' y 4 ,,-- 5 Phone 360.293.1920 /Or <br /> i.i,' :491 " Fax Fax 360.293.1938 <br /> �-� Fax <br /> E-mail engineering@cityofanacortes.org <br /> .� . g g@cityofanacortes.org ,p,1Z.0 <br /> Website www.cityofanacortes.org rditre. "' <br /> ENGINEERING PLAN REVIEW FEE ASSESSMENT <br /> OWNER: L e5 S c.%-.wKI <br /> SITE ADDRESS: CV)ck a -3 f_.& c5L-, ` <br /> PROJECT DESCRIPTION: --n7L.st wa ..►4.1�0.-e.. (9 ,1-1 ` <br /> PROJECT VALUE: il, t £o 1 �� c9a7 ` ' <br /> i 5a 534- ect Lbti-4 .Q <br /> BASE FEE 59X, ;�`�' <br /> TWO PERCENT OF PROJECT VALUE go , t`- /D.470- +..r -ect <br /> TOTAL ENGINEERING PLAN REVIEW FE $ . vy /p,Co©—t,,patG <br /> DATE PAID V A{cAeN. Z.3 , 7-06 lit <br /> RECEIPT NO. 00 4— 00 0 0 2 1 p S' <br />
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