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e mow <br /> EVERETT Everett <br /> Permit <br /> 1 <br /> WASHINGTON I <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION 2019 <br /> I <br /> ' <br /> Date: w -wict I <br /> Public Works Permit No.: <br /> i <br /> PROJECT NAME: 1... s Sck4w pmtx�: 6064 ,. ^ 1404104 E..,.._, tt <br /> 1 <br /> LOCATION: 2413 AM-mlit.'C" 'tom- ""E154,02-ri; I q,20, <br /> IDEVELOPER: {✓V/v00- <br /> , <br /> Name: `a�¢kte. .5.1Tertiws - /17/14e ,/.c ss ar° 1 <br /> '5" <br /> Address: 2.101 than ktil- 5-4-04-4- ii <br /> City/State/Zip: i. / % tI t <br /> s <br /> Phone: email: 1d e. Z i 4 <br /> Contact: <br /> I <br /> Name: 2.612, -rr, tvur - I <br /> l <br /> Address: 2312. ;e Ley}Ire I <br /> City/State/Zip: 'e''`e-249g / <br /> I <br /> Phone: Z5--252.-215".., email: /1•10 .5 ("" /.7 eli�°ejtr' .r'tef), P <br /> if <br /> Grading/Cut/Fill (total earth moved) (Cubic Yards) et/ ys �i <br /> Total Asphalt/Concrete Paving(Sq. Ft.)(onsite& offsite): ) t It`4t' ` I' " i <br /> (For Storm water System Development Fee coicuitio, Total Roof Area (Sq.Ft.): 1.4 lat <br /> _. <br /> Total Hard Surface Area on ground (Sq.Ft.): Iji tit) Ste- r <br /> Total of Public Improvements: $ tht,e. <br /> 1 <br /> Total of Private Improvements. $ 24000 <br /> For Office Use Only j <br /> Permit Fee: h <br /> iI <br /> Erosion Control: $ 2t>Q _o c7 1 <br /> Grading/Fill/Excavation: $ '7_5—,,t) -6 <br /> Asphalt Paving: $ 4S-, O c° <br /> Plan Review Fee: $ 3'00 . 0 D <br /> Inspection Fee: $ ( p o. 0 D €... <br /> Total: $ (t ) O , TSD <br /> Performance Guarantee: $ Required?Yes/ No 0___!, <br /> (1.2 X cost of Public Improvements) <br /> • i <br /> i <br /> COST EST FEE CALL-2019 <br />