Laserfiche WebLink
�, <br /> ;= <br /> • f�: <br /> PUB�/� f�0/�L� <br /> ,, <br /> � COST F.STIMATE FOR PERMIT FEE CALCULATION <br /> DATE ��2 �-/ 9� <br /> PUBLIC WORKS PERMIT N0: <br /> PROJECT NF1P^E: �y-_p� (�(,v ,P� �v��,e � � <br /> LOCATION: Cv-P�•v_� — �V�v-4 v'-.�r�v� (6 c� �/ <br /> DEVEI,OI'ER <br /> Name: �oP� Mao M���aa - se�.ao �6r-1'RaR.�S ,�Nc _ <br /> Address : <br /> City/State/Zip: $R�Equ�'-,�,6.1q <br /> Telephone : (ZO� ) 2t3 - 9$"Op <br /> CONTACT � <br /> Plame: ��v� �(�NG�.�rS <br /> Address : I�'1 � L �j- i(34 tll��nS w+r W«Y l�� � <br /> City/State/Zip: S'Pc� �-�- ��a r W lQ f `�.� .5� <br /> Telephone: (�6 ) 36 g- q 6 G g <br /> TOTP.I� OF PUBLIC IMPROV�MENTS $ <br /> �::_ — <br /> TOTAL OF PRIVATE IMPRUVEMENTS $ I 3 � S9 O 2� <br /> ASPHF�LT PAVING ' ( Z,��II SQ FT) $ (o I v <br /> ��' _� <br /> PLAN REVIEW FEE $ U � � <br /> g p/S� <br /> INSPECTION F�E $ S ��T � O� <br /> TOTAL $ L;� _rJ S�' ` !1 1 <br /> '.�— (� / <br /> PERFOFMANC£ GUA}2ANTEE $ <br /> � <br /> CITY OF EVERETT• 3200 Cedar S!reet • Everett, WA 98201 • (206) 259-8800 • Fax (206) 259-8856 � <br />