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C_Invoice_171222
INVOICE 1055 S Grady Way Renton, WA 98057 BILLING CONTACT Rafia Darwish GPD Group 400 N 34th St, Suite 216 SeaƩle, WA 98103 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION 00077272 12/22/2017 12/22/2017 NONEDue REFERENCE NUMBER FEE NAME TOTAL C17002911 Taco Bell @ 4225 NE 4TH ST $11,348.00ENG - SEWER - FSDC - Total $189.43Technology Fee $250.00ENG - WTR - Chlorination $1,162.84ENG - SEWER - Actual at Issuance $14,908.00ENG - WTR - FSDC - Total $3,090.71ENG - Sewer SAD Fee $100.00ENG - Right of Way $197.70ENG - WTR - Actual at Issuance $160.00ENG - WTR - Test - Water Quality/Purity $2,835.85ENG - Roadway - Actual at Issuance $1,607.89ENG - Storm - Actual at Issuance $35,850.42SUB TOTAL REFERENCE NUMBER FEE NAME TOTAL W17006057 Taco Bell @ 4225 NE 4TH ST $4,580.00ENG - WTR - Full Service Install - 1-1/2" $137.40Technology Fee $4,717.40SUB TOTAL REFERENCE NUMBER FEE NAME TOTAL W17006058 Taco Bell @ 4225 NE 4TH ST $85.50Technology Fee $2,850.00ENG - WTR - Full Service Install - 1" $2,935.50SUB TOTAL REFERENCE NUMBER FEE NAME TOTAL W17006059 Taco Bell @ 4225 NE 4TH ST $250.00ENG - WTR - Service - Cap at Main $7.50Technology Fee December 22, 2017 Page 1 of 2 $257.50SUB TOTAL REFERENCE NUMBER FEE NAME TOTAL W17006060 Taco Bell @ 4225 NE 4TH ST $7.50Technology Fee $250.00ENG - WTR - Service - Cap at Main $257.50SUB TOTAL TOTAL $44,018.32 December 22, 2017 Page 2 of 2