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PROJECT NFU��E: <br />LOCATION: <br />DEVEI,OPER <br />°YlBL/L' N/ORXS <br />COST ESTIhIATE FOR PERMIT FEE CALCULATION <br />Name: <br />Address: <br />City/Stat�/2ip: <br />Telephone: <br />CONTACT <br />Name: <br />Address: <br />City/State/Zip: <br />Telephone: <br />DATE B- �-9S <br />PUBLIC WORKS PERMIT NO: 9S�39B <br />LL'.ZL,o.,, G�s��vsc,.-� 3� � —,9.392 <br />/ 7Z C-/Z / J".It S L - <br />TOTP.L OF PUBLIC IMPROVEMENTS <br />TOTAL OF PRIVATE IMPRQVEMENTS <br />ASPHALT PAVING '( SQ FT) <br />PLAN REVIEW FEE <br />INSPECTZON FEE <br />TOTAL <br />PERFORMANCR GUAF2ANTEE <br />$ � 4 . �L��' <br />� <br />$ <br />S <br />$ 5 J dd <br />$ 3�Q So <br />$ 'r �B /A <br />3 <br />CIT� OF EVERET7• 3200 Cedar Street • Everett, WA 98201 •(206) 259•8800 • Fax (206) 259•8856 � <br />