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� PUBL/C �f/O/'�L� <br /> C � <br /> COST rST2NfATE FOR PERMIT FEE CALCULATION <br /> DATE i�D — Z I - �� I <br /> PUBLIC WORKS PERt?IT NO: <br /> PROJECT NAF".E: SOC�GT�ON �/'���.T/ON <br /> LOCATION: GO% Z F �F SEAt.vA S' GEti7"E/� <br /> DEVEI.OPE� <br /> Name : ��EGT�D�� Gp,F�c'ijG4TiON - Ro%��,��T Sf�PAf?JPp <br /> Address : � �qE,e r,//GG /cG , , SU/T�f'i <br /> city/State/ziD: ��t,a�� ,, LvA 9eZo5-/ZS6 <br /> Telephone : ( �jZS) 335-3/38 <br /> CONTACT <br /> Plame : ;7j7/Gf/A�G GUA�E�tJ ' DuAG��'f1�J T <br /> Address : ///Qrj' /,JF fjT`� SU/TE 2�'� <br /> City/State/Zin: ,��GGEUU�� Gt�f� 9��-J'� <br /> Teleohone: ( �ZS) �� —Q3/ 7 <br /> TOTP.L OF PtiBLIC IMPROVEMENTS S 7 3) I Sp <br /> TOTAL OF PRIVATE IMPROVEMENTS $ ZZ �� �44- l`= <br /> ASPHAI,T P�VING ( Z�I7 G� SO FT) $ �j4Sj S7O I" ! �S <br /> PLAN FEVILW FEE $ / z� 1-�7 <br /> � <br /> INSPECTION FEE $ 7 S�Z �� <br /> TOTAL $ <br /> PERFOF2MANCE GUARrI^7TEE $ <br /> (-.� ,� S ,� � <br /> 1.1 � iL7 � ��•'!l : ., <br /> CITY OF EVEAETT• 3200 Cedar Street • Everett, WA 98201 • (206)259•8800 • Fax (206) 259-8856 � <br />