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'L/BL/f N/ORXS <br />C�ST F.STIMATE FOR PERMIT FEE CALCULATION <br />DATE 4' �7 `�Y� <br />PUBLIC WORKS PERMIT N0: _L`�� <br />PROJECT NAP�E: S.Ee-fc%L /���-���.y 1n7� <br />LOCATION: .,��7���9 �� lc.��7`i�o�-c /�vi- <br />DEVEI.OPER <br />Name: <br />Address: <br />City/State/Zip: <br />Telephone: <br />CONTACT <br />P�ame : <br />Address: <br />City/State/Zip: <br />Telephone: <br />( <br />r9rt S,E-o,� � L <br />TOTP.L OF PUbLIC IMPROVEMENTS <br />TOTAL OF PRIVATE IMPROVEMENTS <br />ASPHALT PAVING '( i L� SQ FT) <br />PLAN REVIEW FEE <br />INSPECTION FEE <br />GZiYl►:F+ <br />PERFORMANCE GUARANTEE <br />$ /GZ�- <br />$ `���� <br />$ G �, so <br />$ 7Z'.H2 <br />S �� 8y0 <br />$ ?_/0°� <br />� <br />CITY OF EVERETT• 3200 Cedar Sireel • Everelt, WA 98201 •(206) 259-8800 • Fax (206) 259-8856 � <br />, <br />