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,�ersed 2-/3-03 <br />.f, <br />EV&vEBUN&MBUCS&1gCf Sba., MRIMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: z 21 2�0 <br />Public <br />`Works Permit No.: Paly7r)1 - i I <br />PROJECT NAME: ��� N NI l A L U �I <br />LOCATION: 4-?-U 2 RI4C ICE f�- Al/C <br />DEVELOPER: VL/NL D IRO AJ <br />Name: .T 5A+m T WAL 71;e0d <br />Address: 9I I 1 41-1 <br />6 Azle . \/\,/ <br />City/State/Zip: E V E >zG � ((. WA • J <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: $ 2 3+t' . CSC) <br />Total of Private Improvements: $ <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Total: <br />DED11BROOKKOST W-PERKT FEE CALC <br />For Office Use Only <br />$ � , D tJ <br />$ 3C-f7 <br />$ %03f <br />$ 28 /S oo <br />$ 150 57 <br />