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PflBL/C I�t/O/'�X5 <br /> COST ESTIMl#TE FOR PERMIT FEE CALCULATION <br /> DATE <br /> PUBLIC WORKS PERNfIT NO: <br /> PROJECT N�"E: �/Phl /�J�^,(�7` <br /> LOCATION: /�O(o — B`+oa�wac/ � <br /> DE VEI,OPE R <br /> Name: S%r�qh Po C6in <br /> Address: <br /> City/State/2ip: <br /> Telephone : ( ) <br /> CONTACT <br /> P]ame: r�L k'er�da.� ��^ Lai..; !-�v ✓cY+ <br /> Address : 8�.-y��iRuS�r; <br /> City/State/Zip: <br /> Telephone: ( ) <br /> TOTPS, OF PUBLIC IMPROVEMENTS $ zS'pp 79oJ <br /> TOTAL OF PRIVATE IMPRQVEMENTS $ {90 0 <br /> ASPHALT PAVING ( �(9l�f� SQ FT) $ TnS�ccto�^ 3Dop <br /> PLAN REVIEW FEE $ 3G� °.� <br /> INSPECTION FEE $ ��SOe <br /> TOTAL $ �4s- ao <br /> � PERFORMANCB GUARANTEE $ #�pOo�o <br />� �T�� �1�e/�� �a� <br /> � LL�I TO✓M . 3-17 -�18 <br /> .�, S�ShQd myL�t�•s <br /> CITY OF EVERETT•3200 Cedar Street• Everetl,WA 98201 • (206) 259•8800•Fax (206) 259-8856 y� <br />