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� PUBL/C K/Ol�KS <br /> COST FSTIMATE FOR PRRMIT FEE CALCULATION <br /> DATE ���jrs <br /> PUBLIC WORKS PERMIT N0: �/qg ' <br /> PROJECT N�1P^E: <br /> LOCATION: /70U- CLi�tf„vT <br /> . <br /> DEVEI.OPER <br /> II N <br /> ame : �Tr�is. L�o6l� �v <br /> I� Addre s s : /B.j/- CvG6y tJvc, <br /> City/State/Zip: G-Jv�` <br /> Telephr�ne : ( ) 7Sz-zsop <br /> CONTACT <br /> P7ame : <br /> Address : <br /> City/State/Zip: <br /> Telephone: ( ) <br /> TOTP.I, OF PUIILIC IMPROVEMENTS $ ��� S�U <br /> TOTAL OF PRIVATE IMPROVEMENTS $ <br /> ASPHALm PAVING ( SQ FT) $ <br /> PLAN REVIEW FEE $ j� zy <br /> INSPECTION FEE $ 3� u ao <br /> TOTAL $ <br /> PERFORMANCE GUARANTEr $ �-,�Zz �y <br /> CITY OF EVERETT• 3200 Cedar Street • Gverett, WA 98201 • (206) 259-8800 • Fax (206) 259-8856 �;� <br />