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o01111* <br /> • <br /> verett Permit entices <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> 2018 <br /> Date: <br /> Public Works Permit No.: 03- <br /> PROEcr NAME: (-"iF94271,4‘ <br /> LOCATION: 7O er. 6%-55e6-477 X24:21 <br /> DEVELOPER: <br /> Name: evAr•- • <br /> Address: 54, <br /> City/State/Zip: i-44tire-Az7.76-t-257, <br /> Phone: "fis-- 4?..C/1( email: ri/6,te„,A6t2W c&i,t4 <br /> Contact: <br /> Name: a#e0.424. 6t--12/0-6/44 <br /> Address: __$:Ze/(3 -5;2-4/ <br /> City/State/Zip: ma:ki a/74 &7.2 7J <br /> Phone: ,Zf,;)..r-,:?Z4f 9.57'4 email: toiaq Jaw/ 69(4( <br /> (74e ' <br /> Grading/Cut/Fill (total earth moved) (Cubic 2,..,S-6* <br /> Total Asphalt/Concrete Paving (Sq. Ft.)(onsite & offsite): ":t 0 4. sr <br /> Total of Public Improvements: ..... . .... .....$ <br /> Total of Private Improvements:................_..... Se <br /> _5555, 5., .5 5., 555 _5555. 5.55 .55555.5 4 ====== <br /> F9 OffiCq 1,4e OnLY <br /> Permit Fee: 117h7 <br /> Di IE. LL,3 ‘.'.7 L.; <br /> Erosion Control: <br /> Grading/Fill/Excavation: \ DEC 2 7 2018 Li <br /> Asphalt Paving: CITY OF EVERETT <br /> Plan Review Fee: Permit Services <br /> Inspection Fee: ' $ <br /> Total: <br /> Performance Guarantee: Required? Yes/ No <br /> (1.2 X cost of Pubilc Improvements) <br /> COST ET rct CALL•2018 <br />