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3501 SR 529 2016-01-01 MF Import
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3501 SR 529 2016-01-01 MF Import
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Last modified
4/26/2017 8:11:25 AM
Creation date
3/10/2017 12:05:32 AM
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Template:
Address Document
Street Name
SR 529
Street Number
3501
Imported From Microfiche
Yes
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.. 1UN=21-00 WED 03:35 Pn EVERETT PERnIT SERV[CES FAX N0, 425 257 8857 <br />COST RSTiMATE FOTt PERMI�' FEE CALCULATIv�v <br />P. 02 <br />PTiOJECTNe1A1F.: �/� o�✓ .fGot7/� <br />�acc: <br />ro Zo Za.b <br />Public Works Pcmut A'o. <br />/Z��ris.c <br />LOCATTON: 1e�.�•d We�r s/ f-3' � E.ats � J'.� 99 ��a..m... <br />UEVLLOYER: U i� o,� ✓'�,a � O..r r .fc J v � <br />Name: �^r t,2 �l�QerrrT G/ .7 <br />9 9cK Uct�1/ <br />Aaan55: P. a. .s .-r S 18 <br />� City/State2ip: _�vc�crr w.a 9 gYo� <br />Telcphone; 4 2 S- Z 5 � - 3 i � y <br />CUr ^ACT: <br />Name: <br />Aaa«s5: <br />City/Statc/Zip: <br />Telephone: <br />Gii� /%'/i�i?e � ri.✓ G�6 /l�//Kl �•f/. //� < <br />c <br />.�i� �3 � '� .r�- s'w�� <br />� ✓c�, ��r. !,r/..� 9.� 3 o S� <br />�LS- 7�/i-Soo7 <br />Asphelt Paving ( Sq. h) <br />Totoi ofPublic Improvcments <br />Total of Private Improvements <br />Foro[Cce usc only <br />PERMIT F'EF,: <br />�on <br />-�a�nak��— C,rt�d'�� JE�d FII = �O,c�_yd' <br />Plan fie�ie�v Fca <br />inspection Fee <br />ParFonnnnce Guarnnree <br />(1.2 X enst ofPuClie Imyro�rm.n«) <br />TOTAL <br />--�- s,� <br />s ZS,�cY� <br />$ i <br />200' err.s;c.,eonfxoi,:�a„rev:ew <br />�4 o v. �o <br />$ ��4�� � - �15z=� <br />5 ��0�' . o <br />�__1�' � <br />� <br />� $ I752,So <br />��- i <br />
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