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1611 SE EVERETT MALL WAY 2018-01-02 MF Import
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1611 SE EVERETT MALL WAY 2018-01-02 MF Import
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Last modified
3/9/2022 3:01:48 PM
Creation date
2/10/2017 2:03:12 AM
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Template:
Address Document
Street Name
SE EVERETT MALL WAY
Street Number
1611
Imported From Microfiche
Yes
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ENGINEERING/PUBLIC SERVICES DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: <br />Public Works Permit No.. P 1-v I /-015 <br />PROJECT NAME: We50 i �s <br />LOCATION: <br />DEVELOPER: <br />Name:t~rN <br />Address: q 1z q Y .5 -o <br />City/State/Zip: 977-33 <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: $ <br />Total of Private Improvements: $ <br />For Office Use Only <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Total: <br />0E01/9400F$VC= EST-FE0. rr FEE CUC <br />R <br />$ IAI)7 6 <br />$ 2 /7J -4 1 L) / <br />_ � 7 <br />�7 <br />ZO 39vd NOIionNiSNOO lV-13H1Xd 90Z08Zb096 9E:BT 0TOZ/8Z/00 <br />
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