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Receipt No.: R06 - 01892 <br />Payee: DALE B. NELSON <br />ACCOUNT ITEM LIST: <br />Description <br />BUILDING - NONRES <br />PLAN CHECK - NONRES <br />City of Tukwila <br />Department of Community Development <br />6300 Southcenter Boulevard, Suite #100 <br />Tukwila, Washington 98188 <br />Phone: 206 -431 -3670 <br />Fax: 206 -431 -3665 <br />Web site: http : / /www.ci.tukwila.wa.us <br />RECEIPT <br />Parcel No.: 0223200052 Permit Number: D06 -456 <br />Address: 411 STRANDER EL TURIN' Status: PENDING <br />Suite No: Applied Date: 12/01/2006 <br />Applicant: OBJECTIVE MEDICAL ASSESSMENTS CORP Issue Date: <br />Initials: BLH Payment Date: 12/01/2006 09:32 AM <br />User ID: ADMIN Balance: $32.35 <br />TRANSACTION LIST: <br />Type Method Description Amount <br />Payment Cash 20.00 <br />Account Code Current Pmts <br />000/322.100 1.15 <br />000/345.830 18.85 <br />Total: $20.00 <br />Payment Amount: $20.00 <br />2250 12/01 9710 TOTAL 20.00 <br />doc: Receiot -06 Printed: 12 -01 -2006 <br />