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PkQJECT t:n��F,: <br />LOCATION: <br />'UBL/C {�f/�?Ks <br />COST F.STIMATE FOR PERMIT FF.E CALCULATION <br />DEVEI.OPER <br />Name: <br />Address: <br />City/State/Zip: <br />Telephone: <br />CONTP..CT <br />Name: <br />Address: <br />City/State/Zip: <br />Telephone: <br />DATE �2 /% / Gj L� <br />PUBLIC WORICS PERMIT NO: <br />0 <br />�� �� � �� . � l <br />TOTAL OF PUSLIC IMPROVEMENTS <br />TOTAL OF PRIVATE IMPROVEMENTS <br />ASPHALT PAVING '(�'� Sq FT) <br />PLAIvT REVIEW FEE <br />INSPECTION FEE <br />TOTAL <br />P�RFORMANCE GUARANTEE <br />$ 2� <br />s 2�, Gl GZ � <br />S � �I �i . 5'O <br />$ 1 lq-- <br />S 7 �`�� <br />s �i7. � <br />s '��,100 <br />CITY OF EVERETT• 3200 Cedar Strcet • EverelL WA 98201 •(206) 259-8800 • Faz (206) 259-8G56 � <br />