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f .�: <br /> .'MV <br /> - - PUBL/� L�f/OrrXS <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> PATE _o� '7. $� 9� <br /> PUBLIC WORKS PERMIT N0: <br /> PROJECT NF1P�E; ��`,t;.(,/t/(JT- /Pj,��'�� /�p�j�pTMiThIT� <br /> LOCATION: ���!- %,� �':: ;i/�>-r-�AI <br /> DEVEI.OPER ;�(,(JN�� ,� J T, $�QS.S�jCl/QT�S <br /> Name : M.,I TK/S.C,�/� //�/C C�7✓Ek�{ �'P���l�XlAC7�i� <br /> _� <br /> Address : �?!4 %� (/JZL�,'+� ,$T, <br /> City/State/Zio: ;�;T-�� ,��� ,�7�.��� <br /> Telephone : („��) y��1r _ �4G � �_ <br /> CONTACT <br /> *7ame: /VI�pK 7�-K/.�/Q /C� <br /> Address : � ��,�,r, �� <br /> City/State!Zip: <br /> Teleohone: ( ) <br /> TOTP.L OF PUBLIC IMPROVEMENTS $ �o�,�_ S��.wpc�.l <br /> .7 <br /> TOTAL OF PRIVATE IMPROVEMENTS s 39.oq� <br /> ASPHALT PAVING ( 980o Sp FT) $ i/a o0 �_ <br /> -ZL <br /> PLAN REVIEW FEE $ �(oy 37 ..�_ <br /> INS?ECTIOD7 FEE $ �02730_,� <br /> TOTAL $ —�'�7�—� ( 240h� <br /> PERFORMANCF GUARANTEE $ ,,, fn��D�' <br /> — . .. <br /> CITY OF EVERETT• 3200 Cedar Street • Everett. WA 982Dt • !?pF1 25o_aann . r,,, i�na� ocn oocc , <br />