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��' � ENGINEERING/P(IBLICSERVICESDEPARIMENT <br /> ,,�-�� � <br /> D `L!�,�f��pS"�+I�INJATE FOR PERMIT FEE CALCULATION <br /> � u �/ L, D <br /> APR U 9 ,^0�5 � Date: �/ / � � � <br /> CITY OF EVFRETT Public Works Permit No.: G5a4-C�O� <br /> Permit Sen�ices <br /> I�Rf3]ECTNAME: / LI C�n�f�offaGP ��oirsiy�t� <br /> I.(ndPuele�ed Lct�nd -Ju3t N� � o�f /�-'th� 's ort <br /> LOCATION: - � <br /> DEVELOPER: SE 3 L�C', <br /> Name: L(��rt i� �v ,�;�vzvik <br /> Address: �(v 1 U I�/J�1 inni�� /�,� ._____ <br /> City/State/Zip: � i��,'i'-tf_�L/�_�S-�O/ _ <br /> Contact: <br /> , � � <br /> f�ame: _ - - > -�r�' - ���12�' r ' _ <br /> Address: �{2 9�i �(C'`r �• /�/ . Sr<<te ,�D�/ <br /> City,�state/Zi�:�: �'����g�'L% <br /> u � <br /> Asphali Paving (Sq. Ft.): `�/,] ��/ <br /> Total of Public Improvements: $ O (� �i i l. r= �` <br /> �� <br /> Totai of Private Improvements: '�*-1=�'`���7�3�`� — <br /> -- ---- - — ---- ------ —• ---------- --- <br /> - __-- � - - - � - � -- For Office Use Gnly -- <br /> Permit Fee: <br /> �� f�7_ <br /> Asphalt Paving: $_ <br /> 6 � <br /> ,�lan Review Fee: � �� <br /> � L5 <br /> Inspection Fee: $ Z� 3 j <br /> Performance Guarantee: $ <br /> (I.].�(cos[of Public Improveinen[s) S� <br /> 7 <br /> Total: $ 3 2-S/ �� <br /> , <br /> nE011PqOp+y�nsi ft-r ppqrlfi FFF GAlC � J <br /> ���� <br />