HomeMy WebLinkAboutSpecial Deposit Transmittal 2SPECIAL DEPOSIT TRANSMITTAL
PAYEE: C'e Cl
REFUNDING ADDRESS:
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`� WA CITY: � STATE: ZIP:
PROJECT NAME:�C�eII_L��}II�
ADDRESS LOCATION: PERMIT #: U1l-i W -
—agDEPT. CONTACT: ExTN:abw
SPECIAL DEPOSIT CONDITIONS:
H:%DfWMsADrALwAOA➢ AftA 1.wWK=06" FO VMSC OULM4 [ LTFMlATErdO G OFPOW
WHRE AND YELLOW TO FINANCE. RETAIN PINK FOR PBPW RECORDS
DATE: � Z-C, I �C
RECEIPT #
FINANCE REC. M ^�
AMOUNT: $ +
WO#: FUNCTION #:
TYPE OF DEPOSIT:
BUILDING
❑ 90 DAY TEMPORARY OCCUPANCY PERMIT
❑ LANDSCAPING MAINTENANCE
❑ SIGN DEPOSIT
❑ STREET CLEANING
PUBLIC WORKS
❑PW CONSTRUCTION PERMIT
PROPERTY SERVICES
❑ LATE COMER FEE (TO BE RETURNED TO LCS
HOLDER)
❑ STVAC (APPRAISAL FEE DUE APPRAISER)
BOARD OF PUBLIC WORKS
❑ BPWDEF (BPW DEFr=ERAL)
(WO# 89150 FN# 5990 TRANS CODE #7054)
OTHER'S �iy m m nA'l �i [fin ► s-W
RECEIPT EG00058786 CITY or
1055 S Grady Way, Renton, WA 98057
Transaction Date: August 29, 2016
BILLING CONTACT
Office at Southport, LLC
1083 Lake Washington Blvd N , 50
Renton, WA 98056
REFERENCE NUMBER FEE NAME
TRANSACTION PAYMENT UNT PAID
TYPE METHOD
CH 5660
Plan LUA00-156 Wetland - Install, Maintain 8 Monitor -
Cash
Bond Payment
Check #5660
$47,981.25
3954 (660-000000.000.237.00.00.000)
$ 47,981.25
SUB TOTAL
S47,981.25
Office at Southport, LLC
1083 Luke Washington Blvd. N
Suite 50
Renton, WA 98056
(425)282-5833
Pay
tb The
Order Or
FORTY-SEVEN THOUSAND NINE HUNDRED EIGHTY-ONE AND 25/100 DOLLARS
City of Renton
1055 S. Grady Way
Renton WA 98057
m 5660111
US Bank
19-10/1250
TOTAL
5660
0.
Date Amount
08/24/2016 ******$47,981.25
If
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Printed On: Auqust 29, 2016 Prepared Bv. Stacy Tucker Page 1 of 1